HomeMy WebLinkAbout0048279-Plumbing (laterals) CITY OF OSHKOSH N2 48279
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 71r SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS a i le.„,e
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK , — 0 -�
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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 Lc4/
BT _ WH _ Disp _ WSoft _ CBasin C
Lav _ Sh DW DF _i San. Sewer 1
— WC _ FDr _ SP _ Ur ( Storm Sewer L I f l C
Sink _ LTub _ Eject _ SS 4. Water C
Other
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FEES: Valuation $ / S ' t d a Permit Fee Paid $ a ` Park Dedication $
ISSUED BY �_....---- Date // - /6 - 5 Final/O.P.
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In the perform of this work 1 agree to perform all work pursuant to rules governing the described construction.
e SIGNATURE // /C v 76-
�� J �" A R GENT /OWNER DATE
ADDRESS c. �� / �� � ° '—' , k,Z-L nZBj - 6 95
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