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0036146-Plumbing (misc.)
CITY OF OSHKOSH No 36146 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS /77 ‘S PLAN NO. OWNER DESIGNER USE /NATURE OF WORK PtLe II E l .1 BUILDING CONTRACTOR Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 2 ZC. BT __/=WH Disp _L WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink _L LTub Eject SS Water Other ©S> .2- C 0 FEES: Valuation /2-°u, Permit Fee Paid Park Dedication ISSUED BY Date i Y7 3 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. J i SIGNATURE �1��0t/Vv /c)//i3 AGENT /OWNER DATE ADDRESS TELEPHONE