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HomeMy WebLinkAbout0030734-Plumbing (sink)~ CITY OF OSHKOSH N° 30734 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS J PLAN NO. OWNER ~~"'~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms 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 -BT - WH - Lav _. Sh .- WC - FDr ~ Sink - LTub Other - Disp -. DW - SP -Eject - WSoft - DF - Ur - SS - CBasin - San. Sewer_ -Storm Sewer - Water FEES: Valuation $ ~ O ®~ ' ~ ~ Permit Fee Paid $ ~ ~ ~ ~-`' Park Dedication $ ISSUED BY_ ~ Date - ~ "~ L=! ~ Final/O.P. In the performance of~tht~ work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~~~ ,/ ~' r AGENT/ E -,1 ~ DATE ADDRESS (//J ~~~ _ ~~~~ ~ ~ TELEPHONE N 3DDRES3 02 ~ d owNEs NATt~RE OF Wow ~ ~~ •~~ WA' ;R 9\~ ~/y3 PLDI~ING PtRMT't APPLICATION "~' DATS ~ ~ ~9 2-- ~- - ' ~PLUr~~ - ~ ' ~- ~ --- -~~n. n ** Violation notes on ttse reverse side ~073~" O Ejector L Water Softener SLnk Drinkin Fountain o tt~er heater Slog Sink Laundry 1'uti Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ~~ ~~ .~.~-