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Home My WebLink About0003566-Plumbing (kitchen sink & laundry tub) � CITY OF OSHKOSH No _ 03566 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �/�� E �/ PLAN NO. OWNER e/ � �(�' DESIGNER USE/NATURE OF WORK ��S��v/ ��/�/�--r^�`j� � ��/[�c-.� ��ivin�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 C(�NTRACTnR � /�2 s —BT _WH _Disp —WSoft —CBasin —Lav _Sh _DW —DF —San. Sewer ' WC —FDr —SP Ur _Storm Sewer �Sink �LT� —Eject —SS —Water Other � d�.--- FEES: Valuation $ � Permit Fee Paid $ � Park Dedication $ ISSUED BY Date � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � A /OWNER DATE ADDRESS TELEPHONE�