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Home My WebLink About0045991-Plumbing (laterals) "~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD i/Ol Ng 45991 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG J( SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - ~ - - -: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESSJ g~ . '~ldD,r~ Ltl. _ PLAN NO. OWNER .~~~-i::... ~~n~ ~ ~~.vd QQ.. \)f\1Jl~ ,ANt.';:.L<..- DESIGNER USE/NATURE OFWORK-.J.)~ r: / (JU 'f.C:;;rI.e j)11/4?lh/1lj' 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 _BT _WH _Disp _Lav _Sh _DW _WC _FDr _SP _Sink _ L Tub _ Eject Other PLUMBING CONTRACTOR S (U'Y\ \'1l nn:3 ~ I J vnfu r h:3 _ WSoft _DF _Ur _SS _ CBasin --L San. Sewer & 4) 1> l~,J-'G _ Storm Sewer --L Water I, (I j) C n-e.r- , , Park Dedication $ FinaVO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. <<'>:::::-" DATE SIGNATURE ADDRESS TELEPHONE #