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HomeMy WebLinkAbout0033654-Plumbing (DWV piping)~~ CITY OF OSHKOSH N° 33654 PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~ ~ g /`t` ~i~2:c~ - PLAN NO OWNER DESIGNER USE/NATURE OF WORK W ~ ~~ BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # 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 - Disp - WSoft - CBasin - Lav - Sh _, pyy - DF -San. Sewer - WC - FDr - SP - Ur -Storm Sewer -Sink - LTub -Eject - SS -Water Other FEES: Valuation $ ~g~ o ~4 ~ Permit Fee Paid $ ~©- Park Dedication ISSUED BY r~ Date ~ ''~ 9' 3 Final/O.P. In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATUR~ - '~1 _ AGENT/OWNER ~~ _ DATE ADDRESS TELEPHONE #