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Home My WebLink About0047487-Plumbing (laterals) <.~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD VOl N!-47487 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? ~~E? _ ~ _ ~~B~ J? ~I~~ _~ _ ~O~~N~ _ _ . _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ . _ _ _ /7c?-? ~ G-~ ;/J~ /k~ , PLAN NO. ADDRESS OWNER USE/NATURE OF WORK #srr- {)~6 DESIGNER BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Class of Const. Height Occupancy PE:lrmit HEATING CONTRACTOR Heat 0 AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT 'T 0~ (~ _Lav _WH _Disp _ WSoft _ CBasin ylJC C _Sh _OW _OF --.L San. Sewer _FDr _SP _Ur -.l. Storm Sewer YlrJc _ L Tub _ Eject _SS --L Water ( &-- _WC _Sink Other / sCJ ~/ Permit Fee Paid $.... Park Dedication $ Date/O - c::L - 9 ~~ ~ Final/O.P. FEES: Valuation $ ~CJ d-" fi)o ISSUED BY ~~~ ?/ In the perfo'manc~':i work I SIGNATURE ~ ~ ro 7a":Z~?l 'F;; the:; oon/: _ ~_ ?~ I AGENT/OWNER DATE ADDRESS TELEPHONE #