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Home My WebLink About0034122-Plumbing (laterals) �U/ � CITY OF OSHKOSH N° 34122 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � �-� �' �/ - ��/� PLAN NO. OWNER �i��J'-�—o �� DESIGNER USE/NATURE OF WORK � � � � 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 y ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � �� —BT _WH —Disp —WSoft —CBasin � —Lav —Sh —DW —DF �L San. Sewer � �� - —WC —FDr —SP —Ur —Storm Sewer —Sink _LTub —Eject —SS �Water l � Other � FEES: Valuation $ � �� d � Permit Fee Paid $ � � � � d Park Dedication $ tSSUED BY � Date � "L� /�-3 Fina�/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � � �j � AGENT ER TE ADDRESS / �� J q/�C ��+o f�/'.!� � /G(o' DZS�(t� TELEPHONE# . . � �6� PLDl�ING PEB�? ABPLIC.I2ION ?,DDBESS �O �3 � T �pZ'!,r T/9�� FER�?# 3 ��•Z Z- ' OiilaEB :1ATflRE OF W08g S � j N� ggZpy REpAIg HI08 � �� s # ;�A�g Battittib Su Pu Lavst E'ector 1 ailet Water Softener piQ DATg INgpgCTlpN Dp� �zt. Sink Drinkin Fountain Siak(othes �� f,� �-/�9 t e ter Slo Sink G ease Tra Floor Drain Local Waste Laundry Tu Site Drain � Dis osal Laundr Stand i e /' � (� Dishwasher Catch Basin l0 : ** Viclati�n notea on ttie reverae �ide