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0003742-Plumbing (toilet)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 03742 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT USE/NATURE OF WORK /1/ 1Ir1 ( ~ LS;i:0 4- ~~4;/ r~ttc." ['A/Q/I:__ c ~,;/ PLAN NO. ADDRESS OWNER DESIGNER 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 /+-e-z./ .S-e~ _Sink Other _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _BT _Lav -I- WC _WH _Sh _ San. Sewer _Ur _ Storm Sewer _ Eject _SS _ Water Permit Fee Paid $ Date 5~ ~~:j -'? ... ( / ~ ! Park Dedication $ Final/O.P. FEES, Value!;on~: ,- ISSUED BY .,.- j~ ,- . ~ . ork pursuant to rules governing the described construction. SIGNATURE DATE ADDRESS TELEPHONE #