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Home My WebLink About0004771-Plumbing (correct orders) /� CITY OF OSHKOSH N° 04771 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS U PLAN NO. OWNER �` � �� DESIGNER USE/NATURE OF WORK � ��'�-C • 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 ( l�"� —BT _WH —Disp —WSoft —CBasin —Lav Sh _DW DF _San. Sewer —WC FDr _SP Ur _Storm Sewer —Sink _LTub —Eject SS —Water Other �'- /?�/h'/�?G�h. , L! c rJ r�� "'_ ^6'�- FEES: Valuation $ ermit Fee Paid $ � Park Dedication $ ISSUED BY�-�� Date�7 3�� Final/O.P. In the performance of is work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNER DATE � ADDRESS TELEPHONE# �.