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HomeMy WebLinkAbout1995-Plumbing (water softener) ��d CITY OF OSHKOSH Na 48033 n PERMIT - APPLI ATION AND RE ORD C C TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS ` �� � `l'� PLAN NO. � . r OWNER r DESIGNER USE/NATURF (�F WORK _ G -� 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 ,,�����j� � _BT —WH _Disp `WSoft —CBasin � h � _Lav —S _DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink _LTub —Eject —SS —Water Other / C9� .C5 a lu^b FEES: Valuation $ � Permit Fee Paid $ Park Dedication $ ISSUED BY /� C�J� Date �� �--5`— Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE , lv_���5 AGENT/OWNER DATE ADDRESS TELEPHONE�