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Home My WebLink About1993-Plumbing (laterals) (2) ��o � /� CITY OF OSHKOSH N°_ 34291 ` `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ EIEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - / ADDRESS �� PLAN NO. OWNER �?z–� �s� �z.�a 4 DESIGNER USE/NATURE OF WORK � � - D ` 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 -��'y' � _BT —WH _Disp —WSoft —CBasin � —Lav _Sh —DW —DF �San. Sewer / � �� C —WC —FDr _SP _Ur —Storm Sewer —Sink —LTub —Eject —SS �Water � � Other FEES: Valuation $ �� v 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 ` ` �5�� 0 �S /1�'-3 AGENT/OWNER DATE ADDRESS � TELEPHONE# �