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Home My WebLink About0021399-Plumbing (kitchen sink & lav) /� CITY OF OSHKOSH N° 21399 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS T�� • �� PLAN NO. OWNER � �� DESIGNER USE/NATURE OF WORK � �fl�-f%�� S � _ ��'' BUILDING CONT'RACTOR 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 / FEES: Valuation $ ��5�. � Permit Fee Paid $ ��'�"� � Park Dedication $ ISSUED BY � ��-�� Date �� 9� Final/O.P. o ��g� 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#