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Home My WebLink About0044868-Plumbing (laterals) ��i � � � � CITY OF OSHKOSH N° 44868 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER �`/ �/c��-- DESIGNER USE/NATURF nF wnRK �S��cLC��c u� l�Z��- : 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 4 —Sink —LTub _Eject —SS �Water ��r� Other q� 07 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. :2�� t� `� �'e.�r, �- SIGNATURE 3�� S ,��s'Y AGENT/OWNER DATE ADDRESS �Y1� �►-�� C�(� � ��- ��" 3�7� TELEPHONE A�