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Home My WebLink About0003872-Plumbing (shower) � CITY OF OSHKOSH No _ 03872 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � PCAN NO. OWNER ��' � DESIGNER �/ USE/NATURE OF WORK ��'� �G%J •�'��'�� C19��n-- 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 ELECTRtC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � GZte/1/� _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 �5 � � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. C� � __---_ ,t __-, SIGNATURE � `—� � `` �� AGENT/OWNER DATE ADDRESS TELEPHONE N .