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HomeMy WebLinkAbout0037824-Plumbing (water softener) �� G CITY OF OSHKOSH N°- 37824 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �' SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � a� f �- � '� � PLAN NO. OWNER � � `��� �� � � DESIGNER �.j �� USE/NATURE OF WORK � BUI�DING 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 —Sink _LTub Eject —SS _Water Other FEES: Valuation $ 3��^ � � Permit Fee Paid $ �� '� � Park Dedication $ ISSUED BY � Date � �O �� Final/O.P. In the performance of this r I agree to perform all work pursuant to rules governing the described construction. � , /^��� �`� SIGNATURE � ' � �� J7 A NT/OWNER DATE ADDRESS TELEPHONE#