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HomeMy WebLinkAbout0024081-Plumbing (2 connections to city water) /� CITY OF OSHKOSH N°_ 24081 ' �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�] SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS � �$ �"� PLAN NO. � OWNER � � — �— (.� �.l��- ��22.�c—c�-� DESIGNER , - USE/NATURE OF WORK �� Z � ✓� —v 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 E ELECTRIC CONTRACTOR � € Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � Fixtures Switches Receptacles Circuits E t PLUMBING CONTRACTOR � ��'"�' —BT WH _Disp —WSoft —CBasin C� —Lav _Sh _DW —DF —San. Sewer WC —FDr SP —Ur Storm Sewer —Sink LTub _Eject —SS �Water � �— , Other r � FEES: Valuation $ �� . Permit Fee Paid $ '2 � ` U � Park Dedication $ ISSUED BY� Date �'° � �-9/ Final/O.P. lo —3 - �/ In the performance 1his work I agree to perform all work pursuant to rules governing the described construction. ����1'1 C���� ) -�'/ SIGNATU �J AGENT/ ER DATE �• Z ��G-GC-� ��L- - � ADDRESS �✓�J �(' ``J TELEPHONE#