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0042580-Plumbing (R.O. system)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD v~ N!!42580 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG,Ii:( SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~;E~~ - - - - - - - - i ~ ;~- -6-~- - - - (;/- - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - - =.J OWNER '-- DESIGNER ~ ~ e. 5'r USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR /P/~~ _BT _WH _Disp _Lav _Sh _OW _WC _FOr _SP _Sink --r<LTUb ~ed Other /- 0 .. . S:>v ~ _ WSoft _OF _ CBasin ?- _Ur _ San. Sewer _ Storm Sewer _SS _ Water FEES: Valuation $ S C tJ ... 6) 6 ISSUED BY ~ -- Date Park Dedication $ Final/O.P. Permit Fee Paid $ w rk I agree to perform all work pursuant to rules governing the described construction. SIGNA TUR //- 9- ;;; y DATE ADDRESS TELEPHONE #