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HomeMy WebLinkAbout0016820-Plumbing (water softener) n _ CITY OF OSHKOSH N°_ 16820 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '. ADDRESS / S''�� ������ �-,�` PLAN NO. OWNER ` � � DESIGNER USE/NATURE OF WORK f�/'c?-��-0�, � �-� �,4 . -- 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 _Disp �WSoft _CBasin Lav —Sh DW DF —San. Sewer WC _FDr SP Ur —Storm Sewer —Sink LTub Eject SS —Water Other / � � FEES: Valuation $ �7� Permit Fee Paid $ �� Park Dedication $ ISSUED BY___���--�'�:�,� Date �����C� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �''� ENT/OWNER DATE . ADDRESS TELEPHONE# �