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Home My WebLink About0042190-Plumbing (laterals) ,_ ,,'__u_______ __.._ ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~/ N~ 42190 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ZZIGN 0 ZON G FLOOD PLAIN HEIGHT ~~~~E~~ - - -;; - - - ;-s-: ~ s: - - - f:V r; - -- -~ - ~ - - . . . . ~~~ ~~.. . - - - . . . - - . OWNER -0 DESIGNER 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 L Heat Loss BTU'S ELE<;1TRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR '-~ _BT _WH _Disp _Lav _Sh _OW _WC _FOr _SP _Sink _ L Tub _ Eject Other _ WSoft _OF _ CBasin ---!San. Sewer --1 Storm Sewer 1. Water V1C-~ o tJC !~ _Ur _SS /-' d77'\o ~ o-a FEES: Valuation $ _0 ~ ~~ Permit Fee Paid $ Date Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUREA~tl. ~ , AGENTIOWNER /1-/1-7 'fL- DATE ADDRESS TELEPHONE # RELAY DA'J:! ~ DAT! ** Viola~ion notes on the ~eve~se side( PEBHIT# Y.:L/ 7' C) IN'1'ZRIOB. # Bathcub Lava to Toilet Kit. Sink Sink(ot:her W terheater #