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HomeMy WebLinkAbout0027261-Plumbing (interior) CITY OF OSHKOSH N2 27261 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS // r C ( h� L N PLAN NO. P_.....4-- OWNER 163 �- 1 �`� DESIGNER USE /NATURE OF WORK /).-- s / ' \ f _ 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 .0 L:6 BT / WH / Disp WSoft CBasin 3 Lav Sh J DW DF San. Sewer 3 WC ( FDr / SP Ur Storm Sewer Sink LTub E ct s SS Water Other 1 - /4 C4) ILf FEES: Valuation $ d ©. O 0 Permit Fee Paid 4 0 • P 0 - $ Park Dedication $ ISSUED BY W Date ' 7 —7 Z Final/O.P. 0 - a ." ' 7 R In the performance o work I agree to perform all work pursuant to rules governing the described construction. SIGNATU _� ., t'L4 /1 7.-Q AGENT /OWNEE; A DATE ADDRESS / � c A ' a L / _i r � 3� /s-�� ( TELEPHONE # '....-afrik:14a2iftirffl-3 Japes assanai aql uo s 3 u uopelo,p , re- , e 4 00,0 7 ( s3aT3no as n3 slPuisn t '"�""� ao3oara /3a4sag sa3sM 1 C uzs3uno3 •Q a agssrrustQ / Z L C C - C - - C sau33os •3sM Issodsta / / Ass', £tpunsj / uteac a00T3 / ��( / / adza pulls LapunsZ I sar�ogs s I _ 9 / -9,4 uie.Q 837s (aagpo)xutS a3 ssM Ts ooZ >u? S '41X i S,Lda x0I.L03aSMI RING x0I1.03dSNI if dmna dung / // zeI t. dss1, assas0 1 /j atso3snsZ e - I M3s w i0ZS utsvg cloan T II gn3g3eg 'a UM # # MaS NVS I 7711II aivaa2I brZn r x - Wiz• - / 2I II UMW X110: 30 311.111.VN j„,) L ��zl�a / - / ai , / ssZaaae xolZVDflddV I.IY12i�d 9xI�If1'Ia