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HomeMy WebLinkAbout0012266-Plumbing � CITY OF OSHKOSH No 12266 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���Cif l• �iv �///G�1 PLAN NO. : OWNER �`��'�--� DESIGNER : USE/NATURE OF WORK �'�-''�'' BUILDING CONTRACTOR : Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit � HEATING CONTRACTOR Heat b A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ; ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PI UMRING C�nNTRAC'TOR � '� �BT �WH �Disp —WSoft —CBasin �Lav —Sh �DW —DF —San. Sewer �WC _FDr —SP —Ur —Storm Sewer �Sink —LT —Eject —SS —Water Other ^ ,�/' G Y� FEES: Valuation $ a SQ Q• Permit Fee Paid $ T� Park Dedication $ ISSUED BY �r-m.-�� Date �'��— c� Final/O.P. �^–Z 2�� In the performance of this w rk I agree to perform alt work pursuant to rules governing the described construction. SIGNATURE ��� ��� AGENT/OWNER DATE ' ADDRESS TELEPHONE� LUI�ING PERMIT APPLICaTION ADDRESS � DATE " ' PERMIT� I� �-�l OWNER PLIII�ER NATtJRE OF WORIC NEtJ RELAY REPAIR I,TTERIOR � � � WATER Bathtub Catch Basia Lavato Grease Trao Toilet I S Pumn S CTION DATE INSPECTION DATE Kit. Sink I Local Waste Sink(other Site Drain Shower Laundry Stand Pipe Floor Drain I Lauad Tra /� I .�,3 � Dis osal Wat. Suftner I / Dishwasher D. Fountain Water Heater E�ector Fature outlets ** V' a the rever e side