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HomeMy WebLinkAboutPlumbing (interior) CITY OF OSHKOSH No 12516 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /' / A l L L-- PLAN NO. OWNER /f E/ E DESIGNER USE /NATURE OF WORK I r� /I i ,, Af 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 BT / WH l Disp WSoft CBasin i Lav I Sh DW DF San. Sewer a WC / FDr I SP Ur Storm Sewer Sink LTub Eject SS Water Other 5 j , e —/ /7 L FEES: Valuation $ ©� '— P rmit Fee Paid $ 4 Park Dedication $ LZ ISSUED BY Date 3 — Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 6.4 .J 3 — 9 — e/ AGENT /OWNER DATE ADDRESS TELEPHONE #