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HomeMy WebLinkAbout0035266-Plumbing (violation correction) ����� n CITY OF OSHKOSH N° 35266 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �'��•'P ��I`���%�(�I� /'t t PLAN NO. OWNER ICy"�'1 F�'�(�Y�%�la E'l DESIGNER USE/NATURE OF WORK_�i i G�l'�J CY► �' '��=/1�j'L��,-� 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 ;C' PLUMBING CONTRACTOR ��� �"3'� .r-- .'�"7--� �� —BT —INN _Disp _WSoft _CBasin � —Lav _Sh DW _DF _San. Sewer —WC FDr SP Ur _Storm Sewer —Sink _LTub Eject —SS _Water Other �-r� ,.c � , FEES: Valuation $ ����' Permit Fee Paid $�- Park Dedication $ ISSUED BY 1 y y ��c' � �'LL��L �d �r�/ Date__'-� �, / Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � �� SIGNATURE � 'r� � AGENT/O NER DATE ADDRESS - TELEPHONE 8