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0020435-Plumbing (laterals)
~ ~~ ó?S- CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING - FLOOD PLAIN - HEIGHT- -. -........ - -. -..... -...................... - -.... - - -.............. -- DESIGNER J:~õ: :7~tððL- ~~ ~~/R/f .nL~ ¿.Ilv-:~ PLAN NO. ADDRESS OWNER USE:NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 FueVSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo Fixtures New 0 Change 0 Temp 0 Type - Volts - Amps- Switches Receptacles Circuits PLUMBING CONTRACTOR 4r 4 c:;~ _8T _Lav _WH _Sh _Disp _WSoft - CBasin L San. Sewer (~¡:?Y¿ _WC _FOr _LTub ~DW _OF _SP _Ur - Eject _SS - Storm Sewer ~Water /l1(""7r-- _Sink Other / FEES: Valuation $ ~~- Permit Fee P~$ kC:;-~../' ISSUED BY ~ ~ Date :f/.:2-.? i7 ..... ' Park Dedication $ FinaVO.P. q -;2 <{-"fir" In the performance ot this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~Y;¿ ~;t: AGENnOWNER (;s"?;).r :'f~áC- DATE ADDRESS TELEPHONE.