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HomeMy WebLinkAbout0037961-Plumbing (interior) T�� CITY OF OSHKOSH N°- 37961 . � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 3 ��O "�S -�- � L�•�� ��-(� PLAN NO. . OWNER (� /��c .y��'� DESIGNER � � s�� `� � USE/NATURE OF WORK �' . 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-'�� _BT WH —Disp —WSoft —CBasin �% _Lav —Sh —DW —DF —San. Sewer _WC ZFDr —SP —Ur —Storm Sewer : —Sink �4Ta� �L W—Eject —SS —Water Other FEES: Valuation $ �� �" C' � Permit Fee Paid $ l�' a� � Park Dedication $ ISSUED BY ��/ Date � � Final/O.P. In the performance of this work I agree to perf all-wor�suant to rules governing the described construction. �- -- - "----_—� SIGNATURE � A NT/OWNER DATE ADDRESS TELEPHONE#