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0002388-Plumbing
� _ CITY OF OSHKOSH No _ 02388 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �l � L� � � PLAN NO. �� J OWNER �1�� .������ DESIGNER i USE/NATURE OF WORK �-� � � 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 —WSoft —CBasin 4 f Lav Sh DW —DF —San. Sewer ;'�L- �WC —FDr —SP —Ur —Storm Sewer —Sink �LTub _Eject SS Water � � ��v�7n,� Other c�' 6� FEES: Valuation $ U Per ' e Paid $ � � Park Dedication $ ISSUED BY�,�!l,✓`-t_r Date �°�/ �7'�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNER DATE ADDRESS TELEPHONE#