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Home My WebLink About0029111-Plumbing (lateral) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 29111 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG,..ff( SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - ~ ~ - if- - - - - - - j - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS , 7 6'<> ~~ P ~ PLAN NO OWNER fV/ _ -f~ DESIGNER v~ ~ -6~~/ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 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 _WC _FOr _ L Tub .~/~ (/ _Disp. _OW _SP _ WSoft _OF _ CBasin --'- San. Sewer _ Storm Sewer -L Water PLUMBING CONTRACTOR _BT _WH _Sh _Lav _Ur _Sink Other _ Eject _SS I C-- ISSUED BY Y~-C) 0 . 0 0 t# Permit Fee Paid $ Date / ,9-0.00'/ 6//0/"7 '- / / Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR/7r?A~ !>: ENT/OWNER ADDRESS /1? ps;-/ (Iyf 6~dl92- DATE TELEPHONE # .--' ADDRESS OWREI. NA'rOlt! SAN SEW wAn:1. ---v::._l.:,:....---c~~._-,.,-~--------"-.;......,;."_~_,,'-";.c.,."'-,.....c~-"-._,~,;;:.:~;:-'.::::::..=;,...:. e_... --'..'I;~--"-"'-""i..\"::c-.~:.:~''';::_- f__~,. DAn: 1/1 S~ F ~ ViolaeiC)ft Dotes Oft the reverse sideI ;J-~/// ~ #