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Home My WebLink About0001859-Plumbing (additional work) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 01859 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT i; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /9/() /I:<&)C:A A .1-/2 ~ r7 / r t/fe(.>~ PLAN NO. OWNER DESIGNER 4 c1r/(;;c~c6 / C.-l /{,'l/~~ ('~ tfU;:;~ ,I.; .If! USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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 rL) L/t.A.r""C r-~vzC. ;, . _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer -J- WC _FDr _SP _Ur _ Storm Sewer _Sink L L Tub _ Eject _SS _ Water Other FEES: Valuation $ 62121"""""- ISSUED BY ~./-~/ Permit Fee Paid $ Date / be crv V' II h /a- r Park Dedication $ Final/O.P. to /.31 kr , In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~... ,fln/Y ~ SIGNATURE I" "'''1..1)1. \~ 1lJl..Ml./'-../" AGENT/OWNER ADDRESS 'ftto )~/~~ -td-..- JI /3 /cYU DATE 'I:-~f: 1/3 & TELEPHONE #