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Home My WebLink About0025667-Plumbing (relay sanitary sewer from house to main) /� CITY OF OSHKOSH N° 25667 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - ` � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��/ � . � � ^ �"� PLAN NO. OWNER �"/ .� C1'�-c DESIGNER � ' �USE/NATURE OF WORK ''1 �� -�c�-�- �P � nz.. �c-=.�� h L= 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 C PLUMBING CONTRACTOR �� -�� . _BT _WH —Disp —WSoft _CBasin _Lav —Sh _DW _DF �San. Sewer �� —WC —FDr _SP _Ur _Storm Sewer —Sink _LTub —Eject —SS _Water Other FEES: Valuation $ ��-'Q� � � \Permit Fee Paid $ � � ` � � Park Dedication $ ' ISSUED BY � d`�� Date �p r� '�.✓ FinaUO.P. � In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATURE 'J�ZiC�:CE/�i�/r�� AGENT/OWNER DATE ADDRESS TELEPHONE#