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Home My WebLink About0000313-Plumbing (repair sewer lateral) � CITY OF OSHKOSH No 00313 `' PERMIT — APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS�� "/""' PLAN NO. OWNER DESIGNER USE/NATURE OF WORK � _ '�"'� � BUI�DING 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 ELECTR�C CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT —WH —Disp WSoft � CBasin —Lav _Sh DW —DF —San. Sewer —WC —FDr —SP —Ur _Storm Sewer _Sink —LTub —Eject SS Water Other 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. SIGNATUR� ��/ C� �.f,j o� 4` �-- �p–,y� : AGENT/OWNER DATE � ADDRESS TELEPHONE A