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0038018-Plumbing (water softener)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 <r// 38018 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG lf5 SIGN [J ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - -~- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 7"'" 1 ""'---- PLAN NO. OWNER C ~vJ C. ~ DESIGNER ~ ~ /j/Y USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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 ft(~ _BT _WH _Sh _Disp _OW _SP -L WSoft _OF _ CBasin _ San. Sewer ~ _Lav _WC _FOr _Ur _ Storm Sewer _Sink- Other _ L Tub _ Eject _SS _ Water FEES: Valuation $ ISSUED BY .:set)" e:. d ~ Permit Fee Paid $ / eY - eo C J Date y/ r7~ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ' . AGENT/OWNER -r?-/~fr' o:t.TE ADDRESS TELEPHONE #