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Home My WebLink AboutPlumbing (additional fixtures) (2) � CITY OF OSHKOSH N° 26313 n PERMIT - APPLICATION AND RECORD TVPE BLDG ❑ HTG ❑ ELEC ❑ PLBG IEI SIGN ❑ ZONING FLOOD PL41N—._— HEIGHT ' " ' " ' _ ' " ' " " ' " ' " _ " ' " _ " �T" '�/_ ' " ' " ' " _ ' " " " " " ' _ " " _ _ _ _ " " _ " ' " ' " " " ADDRESS I �� S S C�J ��_�� -t�-c .-� p�qN NO. OWNER � ��^ Plyr �`�``� DESIGNER �.,( USE/NATURE OF WORK��'�`�� '� � "' �'�^'� � � � d�� BUILDING CONTRACTOR Size Sq. FL # Rooms # Stories HeigM Foundation Class o� Const. Occupancy Permit HEATING CONTFACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/Sys�em Heat Loss BTU'S— ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type_ Vofls— Amps Fix�ures Switches Recep�acles Circuits PLUMBING COMRACTOR 7� L-� __ L �-- BT WH —Disp WSofl —CBasin Lav Sh DW DF San. Sewer WC � FDr ._..SP Ur .—S�orm Sewer _Sink LTub Ejec� —SS Water Other f a o FEES: Valuation $ �-rG', CJ � permit Fee Paid $ �' Park �edication $ ISSUED BV �ti �`t��`s"- Da�e�� '�G' " �� Final/O.P. In ihe paAormance ot �his work I agree to petlorm all work pursuant to rules governing �he described constmdion. SIGNATURE (/L/ �'�^ /�� (I o7-U F acervra ea � �� - on ADDRESS TELEPHONE C