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Home My WebLink About1987-Plumbing (connect to city water) � CITY OF OSHKOSH No 02770 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��`-�� (l'/� C ,� PLAN NO. OWNER l/`�i?I�-P-�-� DESIGNER USE/NATURE OF WORK � ' �' C?c: ��ti� 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 � �G�vt� vLb� l�t.,. —BT _WH _Disp _WSoft —CBasin �Lav _Sh _DW _DF —San. Sewer �WC �FDr —SP —Ur Storm Sewer —Sink �L�ab-- Eject —SS _Water Other s2 — J . �/E l'c��e,h �'�'`� ,% T z �� ^ �mit Fee Paid $ Park Dedication $ FEES: Valuation $�? � ISSUED BY� � ��r Date Final/O.P. In the pe�� is work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ` ' � AGENT/OWNE DATE ADDRESS TELEPHONE N