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Home My WebLink About0020021-Plumbing (laterals) CITY OF OSHKOSH N2 20021 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG xr SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS /r° d C C. PLAN NO. OWNER tl 0 L.- DESIGNER USE /NATURE OF WORK -C-c2-"`"`'4"`" 6C.J 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 1 d"Y7'. BT WH Disp WSoft CBasin Q Lav Sh DW DF t San. Sewer V r I C WC FDr SP Ur Storm Sewer Sink LTub Eject SS 'y Water Other FEES: Valuation 6 0 as Permit Fee Paid .02-0 ©0 Park Dedication a ISSUED BY 0gt_- --6 Date ti 2 Final /O.P. U c9u Q 9t In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 0-es.r.i (2</it4.Pi3 F l9 b ENT /OWNER DATE ADDRESS TELEPHONE