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Home My WebLink About0041425-Plumbing (sump pit) � � �� ; � �T HK H N� 41425 . � C Y OF OS OS PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS n��?L=- �r llv�� PLAN NO. OWNER t-(�l ,��(,�.��II Ll/l�l Q� DESIGNER � , USE/NATURE OF WORK__L�� D �t!`(`(�(l�� BUILDING CON7RACTOR 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 1 1�;�'mYY�� _BT _WH _Disp —WSoft —CBasin `��f� , _Lav —Sh _DW —DF —San. Sewer _WC _FDr �L SP —Ur —Storm Sewer —Sink _LTub —Eject —SS —Water Other FEES: Valuation $i�� Permit 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. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE M