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Home My WebLink About1989-Plumbing (city re-hab) � CITY OF OSHKOSH N°- � 6282 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �/�' r � � ' PLAN NO. OWNER �S � ` C� DESIGNER � . USE/NATURE OF WORK = ��' 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 _BT �WH �Disp W oft —CBasin —Lav Sh —DW DF San. Sewer —WC —FDr —SP Ur —Storm Sewer Sink �Llt� Eject —SS —Water Other 1 FEES: Valuation $ �3!d Permit Fee Paid $ �Z� Park Dedication $ ISSUED BY �/ Date��—�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE h'7 !/! Z c cti Sl4 r ��`/ ! /� " d' � ' AGENT/OWNER ' DATE ADDRESS TELEPHONE#