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Home My WebLink About0040672-Plumbing (meters) ~ yýd Ng 40672 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~P_E~ - _~L~~ -~ _~T~_C?- ~~E~_C?- ~~B~'f!- ~1~~ -~ _~O_N~N~_~- :~~~D_~~I~~- ~~I~~T~ ADDRESS ~. 1 c¡ / h - / '(:s f? t¡/;;2 AID ~LAN NO. í=?J \ ~ ~ " h'¥\\'\YrYì OWNER DESIGNER USE/NATURE OF WORK '" )(ì&"tí\ ~ Q \~ J'{V\9-TI f"J BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC 0 Vent 0 Fuei/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type- Volts- Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR '?,Clf)m, )Sse,n _BT _WH _Disp _WC _Sh _FDr ~DW _SP _WSoft _DF - CBasin - San. Sewer ¥ _Lav _Ur - Storm Sewer _Sink Other _LTub - Eject _SS _Water FEES: Valuation $ l50),éD ISSUED BY ~~ / Permit Fee Paid $ /0: (j) 0/' Park Dedication $ Date ~~,I~iinaIlO.p. In the performance of this work I agree to perform ail work pursuant to rules governing the described construction. "ONA,"" ~,R-~ AGENT/OWNER ADDRESS_f 91'1 (H,A£<....h/f/vr-,t.. ø~/I-fý DATE /I-c J31-£'7'17 TELEPHONE.