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HomeMy WebLinkAbout0024091-Plumbing (addn to 22438) � CITY OF OSHKOSH N° 24091 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG J� SIGN ; ❑ ZONING FLOOD PLAIN HEIGHT ; - - - - - - - - - - - - - - - - - - - - - - - - - - �T- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - H ADDRESS ��` � `% � �-�- PLAN NO. OWNER �- DESIGNER USE/NATURE OF WORK � ` Z� � � '��.��� BUILDING CONl'RACTOR 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 -n- —BT _WH _Disp _WSoft _CBasin —Lav _Sh _DW _DF _San. Sewer —WC �FDr _SP _Ur _Storm Sewer —Sink _LTub Eject _SS _Water Other l ' �� FEES: Valuation $ � ��.3 . Q a Permit Fee Paid $ �a � � � � \ Park Dedication $ ISSUED BY_ w��� �� Date_ �" � ��� Final/O.P. In the performance is work I agree to pertorm all work pursuant to rules governing the described construction. SIGNAT E ���j AGENT/OWN DATE ADDRESS � / � � � � TELEPHONE# �