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HomeMy WebLinkAbout0042503-Plumbing (interior)~/ a ~ CITY OF OSHKOSH N°- 42503 `' PERMIT ~ APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~] SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~ 6 l~ ~~ ~ V a^~, PLAN NO. OWNER nGeir_~i~o BUILDING CONTRACTOR Size Foundation # Stories Height Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~ E'.~~'` ~ r BT ~ WH _ Disp _ WSoft - CBasin Lav _ Sh ~ DW - DF -San. Sewer WC Sink ~ FDr ~ ~b ~ C Gt/ ~ SP _ Eject _ Ur - SS -Storm Sewer -Water Other FEES: Valuation $ 4Z, ©'~ •/~ Permit Fee Paid $ 3 ~ ~ ° ~ ~ Park Dedication $ ISSUED BY A i~Gi~ Date ~ / ~ ~ Final/O.P. In the performance of this work I agree to pelrform II work pursuant to rules governing the described construction. ~~ / SIGNATURE ADDRESS Sq. Ft. # Rooms '7 _-~ /DATE 2~i11 -C~.~-G.S TELEPHONE N ~ja aDDBaSS -~ ~~ .S INC PaBMIr APELICA?ION Dora ~ ~ 9 S t~a~r# `~~ s~ 3 owNaa pr,D~aa ~` ~`/ rr~rflaa of wow /ls' .S ~%' o`' ~~(1 "''` ~ ~ ~~~a3 ~ ~~~ ~yS ~ L ** ~i~t~,.. ...-- en tb t-en ., de Vi O uis osa Di~shw'as, Ly ( ~ -- Sump Pua~ / Ejector Water Softener Drinkin Fountain Jrinal __ r Slo Sink e se Tra n Locai Waste Site Drain Laundr Stand i e Catch Basin ~~~ ~~ I