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0023157-Plumbing
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 23157 TYPE: BLOG 0 HTG 0 ELEC 0 PLBG I,z( SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - - - - -. - - - - - - - -' - - - - - - - - - - - -' - - -- DESIGNER USïA7~.WOR. K f?~~ , /, ~tJ~ A.+~~~~ PLAN NO. ADDRESS OWNER BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Canst. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo Fixtures New 0 Change 0 Temp 0 Type - Volts - Amps- Switches Receptacles Circuits PLUMBING CONTRACTOR é., D~;; ...L Disp _WSoft _OW _OF _SP _Ur - Eject _SS _BT _WH ~Lav -LSh 1-. WC _FOr _Sink -.L LTub Other _CBasin - San. Sewer wft~ - Storm Sewer _Water FEES: Valuation $ o?-.$C'>O ,0 d ISSUED BY C-J ~ Permit Fee Paid $ / v' p2.ð,öð ý- 3D -9/ Park Dedication $ Final/O.P. i/-:'?":'/9/ Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE $;;t/¿,~. d~"7k"~ . . AGENT¿ôWNE!r' DATE ADDRESS TELEPHONE #