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Home My WebLink About0019297-Plumbing (laterals)CITY OF OSHKOSH N4 19297 rch) PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ -------------------------------------------------------------------- HTG ❑ ELEC ❑ PLBG DJ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS °�/ 3S zL�z �/�L PLAN NO. OWNER - DESIGNE USE /NATI 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 —ZdL� BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer �X oe' c Sink LTub Eject SS Water t /e,- Other FEES: Valuation $ r'1 w 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. 1 SIGNATURE AGENT /OWNER DATE ADDRESS TELEPHONE #