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0000160-Plumbing (new bathroom on 2nd floor)
/� CITY OF OSHKOSH No 00160 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � �� �y1 � PLAN NO. OWNER �� � �`"`'C o nv-� DESIGNER USE/NATURE OF WORK �L�C �rT�z� ., /2 r�r �L�i G� sM�,-�n_ Ej,�_ �"'-P�, / � —� � —�- ��°� �— �,�- 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 PWMBING C(�NTRACT(�R �at�t C —BT WH _Disp —WSoft —CBasin �Lav �Sh —DW _DF —San. Sewer �WC —FDr —SP _Ur —Storm Sewer —Sink _LTub —Eject _SS Water Other �c.--- FEES: Valuation $ �L�� Permit Fee Paid $ �� Park Dedication $ ISSUED BY G� .-�._ � Date � � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE � ADDRESS TELEPHONE#