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Home My WebLink About1990-Plumbing (dishwasher) � _ CITY OF OSHKOSH N° 19254 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �Z� L'J� / /-61"1/��t / PLAN NO. OWNER .l)r" L_� DESIGNER USE/NATURE OF WORK�1�c'G��,��(:�.��_. 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 ✓' l BT _WH —Disp —WSoft CBasin —Lav _Sh �DW —DF —San. Sewer WC —FDr —SP —Ur —Storm Sewer —Sink —LTub Eject SS —Water Other / dd ar FEES: Valuation $ �� Permit Fee Paid $ �� Park Dedication $ ISSUED BY��/�/� Date �� Q� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATURE `-��j�,.� • e��..t�- �'�D'S-l�0 AGENT/OWNER DATE �� ADDRESS TELEPHONE#