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Home My WebLink About0017100-Plumbing (kitchen sink) n _ CITY OF OSHKOSH N° 17100 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS- //D �/1/ ��/(� PLAN NO. OWNER OI/L'� J!�'�.-��C' DESIGNER USE/NATURE OF WORK�'��.0�C c' 1`S/� !�l C�i� �c7/7vi L� 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 o 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 $ �v Park Dedication $ ISSUED BY��_��-�� Date��—,�9 — 9U+ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ( ,✓ �'Jl�Z� SIGNATURE AGENT/OWNER DATE � ADDRESS TELEPHONE#