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Home My WebLink About0006687-Plumbing (laterals) ~.. -===-' ' ~ CITY OF OSHKOSH N2 PERMIT- APPLICATION AND RECORD 06687 TYPE: BLDG D HTG D ELEC D PLBG~ SIGN D ZONING - FLOOD PLAIN- IHEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- OWNER !F/2 ~'~Y7""?Sí/ ~6øy-£ ?"j: PLAN NO.- ADDRESS DESIGNER Sßr:A/e...-- /A/Xl~~ .i--,)L.~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Ciass of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuei/System Heat Loss BTU'S - ELECTRiC CONTRACTOR Electric Servo New D Change D Temp D Type ~ Volts ~ Amps ~ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR cJ¡¡ ~'7 < ,ç < A /ð<--- _BT _WH _Sh _Disp _WC _FOr _OW _SP _WSoft _OF - CBasin --I- San. Sewer -..:5!- aT" V-é LStorm Sewer~'/'VC L Water / t, (' "p/,,"'-- _Lav _Ur _Sink Other _LTub _Eject -SS FEES: valuatio~~~ """"---. iSSUED BY _/ J / Permit Fee Paid $ .....?~ / Date C}~ , Park Dedication $ Final/O.P. - in the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE x ¡yJlu/ I~ DATE ADDRESS TELEPHONE #