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HomeMy WebLinkAbout1992-Plumbing (city re-hab) /, CITY OF OSHKOSH N°_ 272g7 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 3�Z �`-' � � T H �7� PLAN NO. � OWNER � S�i�� �� DESIGNER L � � ` USE/NATURE OF WORK �- �" iC'�"'" � BUILDING CONT"RACTOR 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 � � —BT WH _Disp —WSoft —CBasin —Lav _Sh _DW _DF —San. Sewer —WC FDr —SP —Ur —Storm Sewer —Sink _LTub _Eject SS —Water Other FEES: Valuation $ °2 � � � � G Permit Fee Paid $ �� ° . G �' Park Dedication $ ISSUED BY__ � Date � - � - � 2-- Final/O.P. °1��-�a In the performance of 's work I agree to perform all work pursuant to rules governing the described construction. SIGNATU �� �"��� /'�� � AGENT/O ER DATE� // � � 1 t�� ADDRESS f1 � TELEPHONE# � PLDi�I1�G PEBI�? APPLIC.ITION �iDDRESS 3 S,z G�;. � � /��.-a-- DA?L � �S' 9 z- � 7„� 8 j , FERI'�?# OWNgg �-��� _��C.� F �_.. PLDHSLB .D /-f����� NATtI[tE OF WOR� � �,-? _-�J � , NE[,T Y BEPAIR INTL�RIOH �JATER # * Bj�� Sum Pu Lavsto Ej ector Tailet Water Softener � DATE INSPE�TI01'� DA� Kit. Sink Drinkin Fountain � � S iak o tti�r • � �f W he ter Slo Sink e se Tra Floor Drain Local Waste � Laundry Tu Site Drain Dis osal Laundr Stand i e . Dishwasher Catch Basin ** Vinlatien n�r.. � ttis reverse �ide