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0032450-Plumbing (set fixtures)
f/� /� CITY OF OSHKOSH N° 32450 ` ; `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - -�� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : � ��, c Q . � ADDRESS + �� PLAN NO. OWNER '� ��c � .^� � DESIGNER USE/NATURE OF WORK `��� ��- r 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 r ELECTRIC CONTRACTOR � Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps ; Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � �-"`�"�'"'- BT _WH Disp WSoft —CBasin � �Lav —Sh _DW —DF San. Sewer �WC FDr _SP —Ur _Storm Sewer —Sink LTub —Eject —SS —Water Other � FEES: Valuation $ � D �' , C � permit Fee Paid $ �' c � Park Dedication $ ISSUED BY � Date � �9 �'� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE `�`�`�-�'�-�C � ��; !— I �I—r"f � AGENT/OWNER DATE '�� ADDRESS °�-��```I ff � � TELEPHONE# .