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HomeMy WebLinkAbout0011900-Plumbing (kitchen sink) � CITY OF OSHKOSH No 11900 `' PERMIT — APPLICATION AND RECORD ' TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS t��7" �L'?e��.O ST PLAN NO. OWNER • /f'�il� � DESIGNER . USE/NATURE OF WORK 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 _BT —WH Disp WSoft CBasin —Lav Sh _DW DF San. Sewer —WC —FDr —SP —Ur —Storm Sewer �Sink —LTub —Eject —SS —Water Other U✓ �✓�'7� FEES: Valuation $ � Permit Fee Paid $ � `""— Park Dedication $ ISSUED BY Date �� =Z� —� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE� /�/.�.�'�l� �`�'/ �� ;% �� /��—z 7�� ���GENT/OW R DATE � ADDRESS TELEPHONE#