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Home My WebLink About0021835-Plumbing (laterals) � CITY OF OSHKOSH N° 21835 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG f$' SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � ADDRESS � `3 �9 �✓ • r S� rv � PLAN NO. OWNER !' d;� C -�Z<-�. 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 EI�ctric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT WH Disp —WSoft —CBasin Lav _Sh _DW DF � San. Sewer g'' WC —FDr _SP Ur Storm Sewer —Sink —LTub —Eject —SS !Water Z �� Other R � (9 ' FEES: Valuation $ �� ' v Y Permit Fee Paid $ �� ' � � Park Dedication $ ISSUED BY � ��y Date ��'�� 2"�� Final/O.P. j 2�Z � ��D In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � I �' —�� AGENT/OWN DATE ADDRESS TELEPHONE#