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0001296-Plumbing
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 01296 TYPE: BLOG 0 HTG 0 ELEC 0 PLBG IiJ..- SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~E~ - - - - - - - -/;;~; - - ;;;~ -L/- - - - - - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - - C~1 VF''' i~- OWNER DESIGNER USE/NATURE OF WORK <) eA-----(.re'---< - ~ <- p./ ~L BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR GilL _FOr _Disp _OW _SP _ WSoft _OF _ CBasin _ San. Sewer 412 t< ! Vc- _BT _WH _Sh _Lav _WC _Ur _ Storm Sewer - Water / ~ L1'U-r./'"- _Sink Other _ L Tub _ Eject _SS / ~ ~,/ FEES: Valuation $ 0 Permit Fee Paid $ /- ISSUED BY /" Date" 7;// (.l/~ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE rI- ~~ AGENT/OWNER DATE ADDRESS TELEPHONE #