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Home My WebLink About1986-Plumbing (sewer relay) CITY OF OSHKOSH No 00836 � PERMIT — APPLICATI N AN O D 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 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 Fi�ures Switches Receptacles Circuits PLUMBING CONTRACTOR �G?�L�- ! �A^,r� —BT _WH _Disp —WSoft _CBasin —Lav _Sh _DW _DF —San. Sewer �� vC- —WC —FDr —SP —Ur _Storm Sewer � —Sink _LTub —Eject _SS —Water Other o�C/ FEES: Valuation $ Permit Fee Paid $ l� �— _ Park Dedication $ ISSUED BY Date Final/O.P. In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. �-f^__�, � SIGNATURE � •� AGENT/OWNER DATE ADDRESS TELEPHONE M