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HomeMy WebLinkAbout0003581-Plumbing (kitchen sink) CITY OF OSHKOSH No 03581 � — APPLI ATION AND RECORD PERMIT C TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �. /t/. S_A. ADDRESS �7 PLAN NO. OWNER � � � DESIGNER � USE/NATURE OF WORK ,r� _ �� �✓ 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 PI IIMRWr (�nNTRAC'TnR �, �,7�P� —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 $ 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 , ��;� AGEN WNER DATE � ADDRESS TELEPHONE#