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HomeMy WebLinkAbout0047190-Plumbing (laterals) VD/ ®, CITY OF OSHKOSH N2 47190 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG j SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 3 � 9 • l /if , � � � � ' PLAN NO. OWNER DESIGNER Ae"7 -g USE /NATURE OF WORK "-- C " ------ tom ....-c i 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 ,0�� ■ _....(_ BT — WH — Disp — WSoft ____. CBasin — Lav Sh — DW _ DF _ San. Sewer ( i t / 0 c — WC — FDr _ Sp — / Ur / Storm Sewer Y/ 0 C Sink — LTub _ Eject — SS ( C��_ _l__ Wa ter Other FEES: Valuation $ /4 Z—05 ®, © 0 X0, CI O Permit Fee Paid $ Park Dedication $ ISSUED BY Date ! /(9 ^ ,— Final /O. P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 9).--/f-9,.c- AGENT /OWNER 9-C / ✓� DATE ADDRESS /� l �// rf /�_j'( � 6_[ � � 046,0 L_ 2 3 �-_ � � � T� TELEPHONE #