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HomeMy WebLinkAbout0010434-Plumbing (bathroom) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 10434 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT DESIGNER /70cl" I!r~~ V;1a~ mA4J 6~~~lA~ PLAN NO. ADDRESS OWNER USE/NATURE OF WORK 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 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~ ~ -l- BT - WH - Disp +Lav _Sh _DW Lwc _FDr _SP _ WSoft _DF _ CBasin _ San. Sewer _Ur _ Storm Sewer _ Water _Sink _ L Tub _ Eject _SS Other FEES, Valua"OIl $ /~ "'b ISSUED BY ~ ~. :~/ Permll Fee Paid $ -114 Date ~ Park Dedication $ Final/O.P. SIGNATURE rk I agree to perform all work pursuant to rules governing the described construction. AGENT/OWNER ADDRESS TELEPHONE #