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HomeMy WebLinkAbout0031562-Plumbing (water softener) ~ CITY OF OSHKOSH N2 31562 PERMIT - APPLICATION AND RECORD ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ A( ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~_ _ _ _ _ _ ~~I~~T_ _ _ _ _ Y;ifb J1! 9 ~ ~. ~ Ldl--V~ &~~ ADDRESS PLAN NO. OWNER DESIGNER . USE/NATUREOFWORK ~~-t- ~ 7~ 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 ;tf~ _Lav _WH _Sh _FOr _ Disp --L WSoft r4L _BT _ CBasin _WC _OW _SP _OF _ San. Sewer _Ur _ Storm Sewer _Sink Other _:TUb ~Eject 1- R 0 '( . _SS _ Water Permit Fee Paid $ Date / /0. D ~ V /1/ b/;7 2--- / r Park Dedication $ Final/O.P. FEES: Valuation $ 6 DO, 0 () ~ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE U~ ~ / AGENT/OWNER 1/'""t,"'9L. DATE ADDRESS TELEPHONE #