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Home My WebLink About0047238-Plumbing (laterals) 1/v CITY OF OSHKOSH Ni" 47238 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG ,e SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 3 q 9 Winch n 5 fJ row k1 Dr. PLAN NO. OWNER M1 H- FiSCdr DESIGNER USE /NATURE OF WORK IUSF 8uki% n /intb/ /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 1d v l4 9 f4 lva -kin BT WH Disp WSoft CBasin Lav Sh DW DF _L San. Sewer I ii pal S �i, WC FDr Sp Ur Storm Sewer Sink LTub Eject SS Water l Copper Other FEES: Valuation A 7 ©0 Permit Fe aid 4 Park Dedication ISSUED BY Date (2 2 -s Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE r URE AGENT /OWNER D ADDRESS TELEPHONE