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Home My WebLink About0038198-Plumbing (sump pump) �� j� CITY OF OSHKOSH N°- 38198 � PERMIT - APPLICATION AND RE RD CO TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOO PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Q � �• /� .L� /DYK f�L�Ci• PLAN NO. OWNER Il e/� ��Z� DESIGNER : USE/NATURE OF WORK `�,�,�.C�,�' � (�i''Y►� 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 �. �LtSYhI.�SSf/'1 —BT _WH _Disp —WSoft _CBasin �j ' —Lav —Sh _DW _DF —San. Sewer —WC _FDr �_SP —Ur —Storm Sewer —Sink _LTub _Eject _SS _Water Other ! � � v FEES: Valuation $ �• rmit Fee Paid $ f�• Park Dedication $ ISSUED BY Date��3�/� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE C��t AGENT/OWNEA DATE ADDRESS TELEPHONE N �.