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Home My WebLink About0038409-Plumbing (laterals) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD ;£0/ 38409 ::,;; '.COG :. ~ ';::/2'2::;: ~. ',,"'. '~;~: ~. . "'~~~ OWNER - bß~ DESIGNER ~- "'~"U"O'WO" 4/S,cðZ - O~ ' ~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Ciass of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ËLECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps - Fixtures Switches Receptacles Circuits (~E~ PLUMBING CONTRACTOR _BT _WH _Disp _WSoft _Lav _Sh _DW _DF _WC _FDr _SP _Ur _Sink _LTub - Eject _SS Other - CBasin ~ San. Sewer vtiJ C ~ - Storm Sewer -Lwater:2-" fe ISSUED BY ,~ Permit Fee Paid $ Date ?6,CÖ/ r/O/i>~ ~ Park Dedication $ Final/O.P. FEES: Valuation $ /6;°00,0 ð In the performance of this work I agree to perform ail work pursuant to rules governing the described construction. SIGNATUREJÍM4. ~ AGENT/OWNER 3-/o-f~ DATE ADDRESS TELEPHONE #