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HomeMy WebLinkAbout0048132-Plumbing (laterals) 5Lo/ CITY OF OSHKOSH N 48132 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG r SIGN ❑ ZONING FLOOD PLAIN HEIGHT a ,/.....„....„_/‘ / ADDRESS � � % PLAN NO. OWNER 1 .—e-G�' DESIGNER ��f — ., / / 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 Q Lav _ Sh _ DW _. DF L San. Sewer Y7 ki C — WC _ FDr — SP _ Ur L Storm Sewer P\) e- Sink LTub _ Eject _ SS __L. Water / Other e hOo FEES: Valuation $ / �b Permit Fee Paid $ 3© ` ® Park Dedication $ ISSUED BY '�� Date /0: Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' r ` if/ 7` S AGENT /OWNER DATE , 9 �� �1� 2J/cL / ADDRESS .9 —f$ 4. " Ai 4 4, e(;, . .35°-6 vs--0 TELEPHONE #