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Home My WebLink About0011525-Plumbing (lav) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 11525 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER ;~ b7~~~<f PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~ r~ ac r: L../~?, BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit Foundation HEATING CONTRACTOR Heat 0 AlC 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 ~/i:&v _Sink Other _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _BT -L Lav _WC _WH _Sh _ San. Sewer _ Eject _SS _ Storm Sewer _ Water _Ur FEES: Valuation $ /.50 ~ ISSUED BY ~ ~c::;J~-------- / ~~- y'/ Permit Fee Paid $ ) Date ~..:?.b-h r Park Dedication $ Final/O.P. In the performance of t. work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE #