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0027755-Plumbing (water softener)
CITY OF OSHKOSH N2 27755 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG j SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / j S /''�/ PLAN NO. OWNER A C✓" DESIGNER USE /NATURE OF WORK to4 e-1/4...)__V 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 4_\),___ Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ 3 S a .G © / 0 , e, O " Permit Fee Paid $ Park Dedication $ ISSUED BY l c.) Date 3 3— 9 2— Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / Z AGENT /OWNER d � Z DATE ADDRESS TELEPHONE #