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Home My WebLink About0038959-Plumbing (extend sanitary sewer)CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE• BLDG K- N2 38959 ❑ HTG ❑ ELEC ❑ PLBG �j SIGN ❑ ZONING FLOOD PLAIN HEIGHT -- - - - - - - - - - - - - L - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� – , - PLAN NO. OWNER-- 115V DESIGNER BUILDING CONTRACTOR Size Sq. Ft Foundation HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System # Rooms # Stories Class of Const. ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Fixtures Switches Receptacles PLUMBING CONTRACTOR BT WH Lav Sh WC _ FDr — Sink _ LTub Other Disp — DW SP Eject Heat Loss Volts Amps —. Circuits WSoft DF — Ur SS Height. Occupancy Permit BTU'S CBasin San. Sewer I — Storm Sewer Water FEES: Valuation Permit Fee Paid $ �' Park Dedication $ ISSUED BY ��/ Date Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ATE SIGNATURE AGENT /OWNER ADDRESS TELEPHONE #