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HomeMy WebLinkAbout0004809-Plumbing (laterals) � � /� CITY OF OSHKOSH N°_ 04809 `' PERMIT - APPLICATION AND RECORD € TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT ; . _ _ _ _ � _ _ _ � � _ _ _ _ _ � _ _ _ _ _ _ _ � _ _ _ _ _ � � � � � � � � _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i. ADDRESS /�� - �"'�/ �� PLAN NO. ��� OWNER DESIGNER USE/NATURE OF WORK ._�' � �G z�-•� �+ ������ � c�-Zsv G= �t. � � BUILDING CONI�RACTOR Siz� 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 s Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PWMBING CONTRACTOR �r=° , �� � —BT —WH —Disp WSoft CBasin �i —Lav —Sh —DW _DF �San. Sewer ��� �� WC —FDr _SP —Ur Storm Sewer 4 —Sink —LTub —Eject SS �Water ��%���-�' Other � « �� � e r FEES: Valuation $ Permit Fee Paid $ � Park Dedication $ ISSUED BY � f Date �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. } .��/ �9 ' SIGNATURE� C�c-�%� ��4�G'� ��"�'S � 3 3 0�S"' ✓ � S^—�'� AGENT/OWNER DATE ADDRESS � TELEPHONE#