HomeMy WebLinkAbout0040983 Plumbing (addition/alteration)� sCITY OF OSHKOSH
PERfVIIT A�PPLICATION AN� RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG
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ADDRESS / D '—"
OWNER
�T�
N° " ��09�3
SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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PLAN NO.
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System
# Rooms # Stories
Class of Const.
Heat Loss
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'.ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR � � ��
_ BT —L W H _
� � Lav — Sh _
�� WC � FDr _
B Sink- QA2 LTub , _
Other � –5�:�=.='��� � i
Disp — WSoft
DW � DF
SP � Ur
Eject SS
� ( r �lY- -2%�
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Height .
Occupancy Permit
BTU'S
CBasin
San. Sewer_
Storm Sewer
Water
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FEES: Valuation $ ��'� � � � � � � Permit Fee Paid $ �� � � � �' f Park Dedication
ISSUED BY ���� Date � � �' � Final/O.P.
In the performance of this work I gree to perform all work pursuant to rules governing the described construction.
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SIGNATUR �fl��' ` �? Y 'r �� � � �
AGENT/OWNER �ATE
ADDRE / Z� S��QJ �I�r H S�� � lu�J/GUC� C��GL ( '73 �i �Zy�
TELEPHONE #
9.DDRESS � $��
OWNER
NAT08E OF' SJ
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�.L�'� PE�T AP;
e DATE
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�* V� the rever�e �ide
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t.
Dis osal
Dishwa her
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Sum Pu
/ Ej ector
" Water Softener
'� / Drinkin Fountain
S
Slo Sink
�- Grease Tra
• Local Waste
Site Drain
Laundr Stand i e
Catch Bas n
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