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0012619-Plumbing (toilet)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 12619 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG;8l... SIGN 0 ZONING FLOOD PLAIN HEIGHT OWNER -2&~C .~~ ~~//<7')A. /6~~r:;/'Z.~_ ~4 6/--'10-r..rC-^ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK r/;)~ e" ~ ,c-</'AA ~ C~:S c ,/ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Cons~. 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/eV _Sink Other _FDr _LTub _Disp _DW _SP _ WSoft _DF _ CBasin _BT _WH _Sh _ San. Sewer _Lav 1wc _Ur _ Storm Sewer _ Water _ Eject _SS ~.--orJ, ~ 0< ,// FEES: Valuation $ :5 ~ ./ Permit Fee Paid $ " ISSUED BY" d"71'-/ Date ~ ~ 5o-cf7 Park Dedication $ Final/O.P. In the perlo'ma~ce 91;;5'" I ag'" to pertoem all woek p"","ant to ,"Ies 90vemln9 the described const,"ction, SIGNATURE ""'--L AGENT/OWNER DATE ADDRESS TELEPHONE #