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Home My WebLink About32996 PLBG (Correct Order) �� CITY OF OSHKOSH N° 32996 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �] SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - �� - - - - - - - - - - - - - - - - ADDRESS j� �� / _�" ` PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK � � � f � � �� ` � �� 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 y BT _WH —Disp —WSoft —CBasin � _Lav _Sh —DW —DF —San. Sewer WC —FDr —SP _Ur Storm Sewer —Sink —LTub Eject SS —Water � Other � 3 SG'.t) °- FEES: Valuation $ � Permit Fee Paid $ � � Park Dedication $ ISSUED BY � Date 3��5 �-� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ._.._i f� �,c�.�� SIGNATURE �� / � AGENT/O NER DATE ADDRESS ? / ,Ltt� —T Y(/� �� `�b �`� TELEPHONE#