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Home My WebLink About0019178-Plumbing (add laundry in basement & replace toilet) � _ CITY OF OSHKOSH N° 19178 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /D� l_�� /� PLAN NO. OWNER i in/�� G�[�Z�s �.1�'/ DESIGNER , USE/NATURE OF WORK " � G' � / / — •�, 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 J t'' /"OZ c�,._ �J ` �.�t.��...=_ BT WH Disp —WSoft CBasin Lav Sh DW _DF _San. Sewer �WC FDr _SP Ur Storm Sewer Sink �LTut� —Eject SS Water Other FEES: Valuation $ �� Permit Fee Paid $ �� Park Dedication $ ISSUED BY �� Date � '- �� - Il -a- 90 �''�i Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ^ � " ? �L C�`�� ^�� AGENT/OWNER DATE � ADDRESS TELEPHONE#