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HomeMy WebLinkAbout0002034-Plumbing (storm sewer & catch basin) � CITY OF OSHKOSH No _ 02034 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� 7 ������. PLAN NO. OWNER ✓,�%i L��_�.�'�_ DESIGNER USE/NATURE OF WORK ,%!-r� �. L, Sl7JY�?i� -fGi.-r�tJ _,t1 G''�������i!���� 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 ELECTRtC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ,�a'�D VG_ � .4rl�c %' —BT _WH —Disp —WSoft �CBasin —Lav —Sh —DW —DF —San. Sewer —WC FDr —SP —Ur —Storm Sewer���L'� —Sink LTub —Eject —SS —Water Other / . _ _.. �� FEES: Valuation $ U Permit Fee Paid $ �"� Park Dedication $ ISSUED BY Date � �3 Final/O.P. ld In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� . /3 �(� . AGENT/OWNER TE ADDRESS TELEPHONE#