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HomeMy WebLinkAbout0019721-Plumbing (laterals) n _CITY OF OSHKOSH N9 19721 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG pitl SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 3/ i PLAN NO. OWNER w . /y'C /9 DESIGNER ��. }l USE /NATURE OF WORK Ste-' - C-- C.�a/t 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 T4 -7,1. V &i- BT WH Disp WSoft CBasin I / - Lav Sh DW DF rr / v C San. Sewer If , C WC FDr SP Ur / Storm Sewer - Sink LTub Eject SS Water / 'r e Other FEES: Valuation $ / 4-4) Permit $ 3 ° - C 7 �d © � ermit Fee Paid " Park Dedication $ ISSUED BY �-�j� �6�.cs Date 7 .3//9'v Final /O.P. O Q ' I 5 - 90 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE OP 9- 31 - ,c) AGENT /OWNER DATE ADDRESS TELEPHONE #