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Home My WebLink About0000151-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 00151 TYPE: BLOG 0 HTG 0 ELEC 0 PLBG R SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - USE/NATURE OF WORK Icf'it /~6'a/V-/ ~/SkN/ ~,.S' Sc'/fAJ'P~ C2/ZJc-v/~~:e-~-- 4L~ PLAN NO. ADDRESS OWNER DESIGNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit Foundation " 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 ~e~# e~ ~~ _Sink Other _FDr _ L Tub _Disp _DW _SP _ WSoft _OF _ CBasin _Lav _WH _Sh _ San. Sewer <;//t :r' y~ _BT _WC _Ur _ Storm Sewer / C-( - Water . ('" c;t:~--- _ Eject _SS /- ..)~~ /~~/ FEES: Valuation $ ~ " Permit Fee .Paid $ I' ::~. # ISSUED BY...~ -~ Date 6' If? (ff Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~.- /J SIGNATURE rX . ~ C--d"~ . AGENT/OWNER e> '3:3 ;;L c;;- c,-/?.3? c;. DATE ADDRESS TELEPHONE #