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Home My WebLink About0007999-Plumbing (interior) � n _ CITY OF OSHKOSH N°_ 079gg PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGH7' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��'� � PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATINCc, CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/5ystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � �� 3 BT �WH �Disp WSoft CBasin �Lav _Sh �DW _DF —San. Sewer �WC �FDr —SP Ur —Storm Sewer ��ink _LTub Eject —SS —Water Other �._. � FEES: Valuation $ Permit Fee Paid $ � 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 l t� � m� '� �'G` �S AGENT/OWNER / DATE ADDRESS TELEPHONE#