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HomeMy WebLinkAbout0033067-Plumbing (correct code violations) �/-� � CITY OF OSHKOSH N° 33067 `' PERMIT - APPL�ICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS J � v � '��'-'��i� PLAN NO. OWNER �i_.--" -�� � �-�z-�`-�" 1 DESIGNER ' — ` USE/NATURE OF WORK � ��--� _- -� �-z-�-�� � J� I� / �'�- � ��-- ' 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 Z``�'' —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 $ �SC' �' a Permit Fee Paid $ ��' � � Park Dedication $ ISSUED BY �� Date � � � `�� -3 Final/O.P. : In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� /� . �� SIGNATURE L�c/Gr'-"-'-c� /'C..�-.�-v ,� - /7� 5' 3 AGENT/OWNER DATE ADDRESS TELEPHONE;IF �