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Home My WebLink About0000376-Plumbing (remodel kitchen & bathroom) � CITY OF OSHKOSH No 00376 : �' PERMIT — APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / � ��_�� PLAN NO. OWNER_��//J� / ,�/f'I h DESIGNER USE/NATURE OF WORK /��r/��c � «-�/�"��fir�.. �c4-��/_ 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 r BT _WH —Disp —WSoft —CBasin �Lav Sh _DW _DF _San. Sewer —WC FDr SP —Ur Storm Sewer �Sink �L�b —Eject —SS —Water Other FEES: Valuation $ �f_Tj�� "� Permit Fee Paid $ �'Z• °� Park Dedication $ ISSUED BY �r�-br� Date � 3 � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. i SIGNATURE ��`•?�_ AGENT/OWNER DATE ADDRESS TELEPHONE#