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Home My WebLink About0024038-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICA nON AND RECORD eJ. 40 3B TYPE: BLOG 0 HTG 0 ELEC 0 PLBG fil SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - . - . - - - - - . - . - - - - . . - - - - - - - - - - - . - . - - - . - - . . - - - . . . . . . . . . . - - - . - . . - - . - . - . . ADDRESS 7R<f""- ß~6 lq~ C~ýY-7 <?/ø PLAN NO. OWNER DESIGNER /V"e-ü/ /~{:J- all .r1~ ~ ~~- "<1..4./47£ USE-NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. -II Rooms -II Storiss Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps- Fixtures Switches Receptacles Circuiis PLUMBING CONTRACTOR ~ -=i:-wH ~ _Sh be- bor ~ _LTub Othér [- /~A~ ~y i: ~ . / S-;ÆK-< (~ ~j _Disp _OW _WSoft _OF - CBasin -L San. Sewer 44 IVé k-sP _Ur - Storm Sewer -'- Water I'&. 4 C~ . f ~ -::- Eject ."T /? ,~ _SS ~/(g / FEES: Valuation $ ~=> Permit Fee ~ ~5"ß->I;ark Dedication $ ISSUED BY ~ Date :5 ".2J{ FinaUO.P. c; / <¡ / rP:(" In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE?'. !h/f)"!cI UfJj hi- ill?#- -Š-ldU , AGENT'OWNER ~vaf/dl Jf MIA; 5Äs;k , DATE ADDRESS TELEPHONE.