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Home My WebLink About1992-Plumbing (water meter) § � CITY OF OSHKOSH N°_ 28869 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �J SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS , � �� S LA NO. OWNER � /'`/ DESIGNER 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 � —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 $ G�' ° ` � a Permit Fee Paid $ �� `� � Park Dedication $ ISSUED BY ��`' Date `S�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. !'.��_� / � SIGNATURE �� AGENT/OW DATE � ADDRESS TELEPHONE#