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HomeMy WebLinkAbout0000165-Plumbing (install catch basin & storm sewer for parking lot) � CITY OF OSHKOSH No _ 00165 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG^� SIGN ❑ ZONING FLOOD PLAIN HEIGHT / � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��-S � C/��Q�`'�- PLAN NO. _ � � OWNER DESIGNER USE/NATURE OF WORK � S� � � �� '? �� � �.s�L -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 ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � —BT —WH —Disp —WSoft CBasin —Lav Sh _DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer 6 `��- —Sink —LTub —Eject —SS —Water Other � FEES: Valuation $ ��.� Per it Fee Paid $ � Park Dedication $ ISSUED BY � � �'-"�-�� Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR� � ��`� � �- � ' _ �^r�� A NT/OWNE DATE ADDRESS TELEPHONE 8