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Home My WebLink About0009623-Plumbing (shower) � _ CITY OF OSHKOSH No 09623 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �.�`� ��1 �� PLAN NO. OWNER �G- . �LJ�'2? l�JCritit z°� DESIGNER USE/NATURE OF WORK 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 —BT _WH —Disp WSoft —CBasin Lav �Sh —DW —DF —San. Sewer —WC —FDr —SP Ur —Storm Sewer Sink _LTub Eject —SS —Water Other / cr� FEES: Valuation $ �3� 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. C % SIGNATURE�, ��- ' � AGENT/OWNER DATE �. ADDRESS TELEPHONE#