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HomeMy WebLinkAbout0037173-Plumbing (2 urinals)/`'~ CITY OF OSHKOSH PERMIT -APPLICATION AND RECORD ~~ N? 37173 TYPE: BLDG ^ HTG ^ ELEC. ^ PLBG [~ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS (O PLAN NO. OWNER ~~' C ~~A. ._., DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms Foundation HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Rece tacles p Circuits PLUMBING CONTRACTOR -BT -WH - Lav - Sh - WC - FDr - Sink - LTub Other - Disp - DW - SP -Eject # Stories Height . Class of Const. Occupancy Permit - WSoft - DF ZTJr - SS .- CBasin -San. Sewer_ -Storm Sewer FEES: Valuation $ ~ ~ ~ © ~ ©~ Permit Fee Paid $ /~Q - ° O Park Dedication $ ISSUED BY ~ Date /y ~ ~ Final/O.P. 7 ~~' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. u SIGNATURE ~ ~ A Q AGENT/OWNER DATE ADDRESS TELEPHONE # OW1aE8 i -x i -. NATDRE OF i?Q~ ,~ ~as~rs PLDI~IIMG PEBL~IIT ppP.LIGAITON w DATE ~ a ~ ~ r ~ 2 r vas a re T7Q~1'11!TtTAR ~~ PE~IT# ~ 7/~~ ;~ g Hsthtub Su Pu Lsvstc E'ector o` a Water Softener CTZON DATE 8i.t. Sia1c Drinkin Fountain Sink other. _ ~8' W e to Slo Sink ~ ~ se T Floor-Drain Local Waste Laundry u Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ~) c.~-,,~~- a ~ P