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Home My WebLink About0024616-Plumbing (2 water services) � � � � t /� CITY OF OSHKOSH N°_ 24616 � ` PERMIT - APPLICATION AND RECORD � � TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT t � €- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS 3 �� 3 �'��'"''" J � PLAN NO. � � � OWNER � � �—��-- ; DESIGNER g � _ � USE/NATURE OF WORK � � ��-vz�c�� k F � � i: � BUILDING CONT�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 i ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits ; PLUMBING CONTRACTOR � p ; —BT _WH _Disp —WSoft —CBasin —Lav —Sh DW —DF _San. Sewer ; —WC —FDr _SP —Ur —Storm Sewer ; S� —Sink _LTub —Eject —SS Z Water /�/`� � � ��-�--- ; Other � / FEES: Valuation $ �� ' �' �� , Permit Fee Paid $ �-`j� ` � a Park Dedication $ ISSUED BY � ��'�'G Date ? � �r� g` Final/O.P. (� - 3/- �'i� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � / � AGENT/OWN DATE ADDRESS � TELEPHONE# [