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0011231-Plumbing (water softener)
� _ CITY OF OSHKOSH No 11231 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ( � ����/ �- PLAN NO. OWNER , �''(r2� r� G���� DESIGNER USE/NATURE OF WORK �.�(/�_ .�-- �g��j�?�rt/ti��,� 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 — isp �WSoft —CBasin Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer Sink —LTub —Eject —SS —Water Other � t1� ��, FEES: Valuation $ Permit Fee Paid $ Park Dedication $ ISSUED BY z� Date �d Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE f�'–�a� g � AGENT/OWNER DATE ADDRESS TELEPHONE#