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Home My WebLink About0023140-Plumbing (remodel) � � CITY OF OSHKOSH N°_ 23140 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �3' � - �'� PLAN NO. OWNER w M � 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 EIECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps a Fixtures Switches Receptacles Circuits � � ( . � � PLUMBING CONTRACTOR �BT �WH �Disp WSoft —CBasin —Lav —Sh �DW _DF —San. Sewer �WC �FDr �SP _Ur _Storm Sewer �Sink �L�nb f�� —Eject _SS —Water Other � FEES: Valuation $ ��' � � Permit Fee Paid $ ��• � d Park Dedication $ ISSUED BY_�� Date r r �v'9� Final/O.P. G�'-7� 9/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �� " � ` I AGENT/OWNER DATE ADDRESS TEIEPHONE#