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0001054-Plumbing
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 _01054 TYPE: BLDG 0 HTG 0 ELEC 0 PLBGð2t-SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- DESIGNER c2;-)ð ?-~kLv-L", /Î~trd ¡'u /1 /¿~:;; 1/ / ð PLAN NO. ADDRESS OWNER USE/NATURE OF WORK ~JHP- c;:-« ~ / .u6i'/~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR /::;, ~Ii ~t _Lav _WH _Sh _Disp _OW _WSoft _OF - CBasin - San. Sewer ¿,¡'" tf'r/C- _BT _Sink Other _Eject _SS - Storm Sewer _Water j'" ri)7f'/' _WC _FOr _LTub _SP _Ur FEES: Valuation $~ -= ISSUED BY cz,~ Permit Fee Paid $ Date LJ;; / 5""k Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~ ~ ~ ?7;J¡jP£.5: O$:?J~ AGENT/OWNER d"hs- /ð c DATE ADDRESS TELEPHONE #