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Home My WebLink About0047569-Plumbing (toilet) l�l� CITY OF OSHKOSH N°- � 47569 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ 20NING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS "► I r�( �J� l `7`�T ! �� • PLAN NO. c� OWNER � C � DESIGNER USE/NATURE OF WORK I 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 CONTRACTORI'L�C��I� ��I _BT _WH _Disp —WSoft _CBasin _Lav —Sh _DW _DF —San. Sewer �WC —FDr _SP _Ur —Storm Sewer _Sink _LTub _Eject —SS —Water Other �� FEES: Valuation $ ��`,� 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. SIGNATURE � Q AGENT/OWNER ATE ADDRESS TELEPHONE�