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Home My WebLink About0031301-Plumbing (laterals)~ CITY OF OSHKOSH N°_ 31301 ~' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ - SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~S -~ // PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Disp WSoft CBasin - Lav Sh _ DW DF (San. Sewer ~ ~~ C - WC ~ FDr _ SP - Ur -Storm Sewer -Sink LTub Eject - SS ~ Water Other FEES: Valuation $ ~~©~ ~ ~ Permit Fee Paid $ ~ ~' ~ ~ Park Dedication $ ISSUED BY ~ Date ~~ '- ~ ~ -~ Z Final/O P f©~~~ . . In the performance of this work I agree to perform all work pursuant to rules governing the described construction. i SIGNATUR r, ~2y---- ~ /~ ~ / 2- AGENT/OWNER /~ DATE ADDRESS O' ~ V ~~ ~ .J ` TELE ONE