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0047930-Plumibing (laterals)
�vC � ' N� " 47930 - � CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i ADDRESS�.�n SG lr�Q 1^ �R�L �"�' PLAN NO. OWNER l�.�� 1C�1'Y�',L DESIGNER USE/NATURE OF WORK /UU� �1c�6 � � 1�[�.�//tL� BUILDING CONl'RACTOR 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 ( Q�`1� ' �� _BT —WH _Disp —WSoft —CBasin � _Lav _Sh _DW —DF _San. Sewer _WC —FDr _SP —Ur �Storm Sewer �' ,T��S"��G —Sink —LTub —Eject —SS —Water Other FEES: Valuation $ Permit Fee Paid $!t,J Park Dedication $ ISSUED BY Date �`'' �� � Final/O.P. �T-1-�l� In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. : SIGNATURE��,!l � � ��'� `� �"���t's'"' AGENT/OWNER DATE ADDRESS TELEPHONE N