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Home My WebLink About0037965-Plumbing (interior) /� C-'� � CITY OF OSHKOSH N° 37965 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS '��-�� ^ �y �� –�� Lf' PLAN NO. OWNER `— c G ,�-�� DESIGNER � USE/NATURE OF WORK � � S�- ��,� - � � 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 —Disp —WSoft —CBasin <i�/ —Lav —Sh _DW _DF _San. Sewer —WC �FDr —SP _Ur —Storm Sewer —Sink �'C�ab �G W _Eject —SS —Water Other FEES: Valuation $ 5� Q ` � � Permit Fee Paid $ � ��° � � C' � Park Dedication $ ISSUED BY ` Date � .-3 � Final/O.P. In the performance of this work I agree to perform a�l work pursuant to rules governing the described construction. � -,_;;-=� , e--�--? SIGNATURE � E"--�• ► Vl � �__ _ _-AGENT/OWNER�-- DATE ADDRESS TELEPHONE# :