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Home My WebLink About0047361-Plumbing (replay sewer & water) �� CITY OF OSHKOSH NQ - ��3�1 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . ADDRESS � � � � PLAN NO. OWNER DESIGNER USE/NATURE OF WORK -� � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height E Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Senr. 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 1�Water l Other /; FEES: Valuation $ ��' ��'� � Permit Fee Paid $ �� G Park Dedication $ ISSUED BY �� _ Date � `<�`S ��_ FinaUO.P. ' In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATUREI G�%'L-�� -2�A�� t'l Y � � � 1 l� — � �� S AGENT/OWNER DATE ADDRESS 1-.� � � l�'LI, U�'�a1�3 �C�C.,' 7� U� , 1..�.�� J J � 3 3 3 TELEPHONE I