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Home My WebLink About1989-Plumbing (replace pipes) , � � CITY OF OSHKOSH N°_ 16793 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� w. �'�o S/�C�� v C PLAN NO. OWNER �� w � L a DESIGNER USE/NATURE OF WORK � ,�� o �� ,�7�-- O �/ i / L S (�c� I` C t, . . r � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � w �1l' � � —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 $�� a d Permit Fee Paid $ �d -Q v Park Dedication $ ISSUED BY� ,�� Date��,� Final/O.P. In the performance of this work I agree to perfor II work pursuant to rules governing the described construction. SIGNATURE � �z` 2�- ��j AGENT/OWNER DATE ADDRESS TELEPHONE#