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HomeMy WebLinkAbout0033063-Plumbing (laterals) j(©/ CITY OF OSHKOSH N2 33063 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG x SIGN ZONING FLOOD PLAIN HEIGHT r lei/ PLAN NO. ADDRESS OWNER 't l..-C �yL DESIGNER USE /NATURE OF WORK I i L _�"'C e..:0Z BUILDING CONTRACTOR Size Sq. Ft. Rooms Stories Height Foundation 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 E BT WH Disp WSoft CBasin Lav Sh DW DF P San. Sewer 1- 1 7 v lC- WC FDr SP Ur ‘11 Storm Sewer Sink LTub Eject SS 4_ Water Other Cc v 3®, c) <3 i FEES: Valuation Permit Fee Paid Park Dedication ISSUED BY sgeOz Date 3 76. 73 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE mini. 1-1�7� AGENT /OWNER DATE ADDRESS/ A 2__., /9-4/i -lde..- 2 66 -E TELEPHONE ADDRESS '4//- t PERMIT &PP.LICATION OWNER DATE 3 G r PE 3 ©E 3 NATURE OT A/ s' C �lIT# NA won 4/ /4. 0 i L ,p ;I;H ALA L/ C min....._______Isk_____■mourimumnri —umm Su Pu ram r 1 4 11 1 0 •1' W ate tor =or Softener e/S D rinkin Fountain t Slo. Sink Floo Drain Ell 1111 Laundry u. Loc "1 W.ste 11 1111 Dis•osal Site Drain 1111 Dishwasher Laundr Stand•i.e Catch Basin low e• es