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Home My WebLink About0026358-Plumbing (addn to permit #19178) � CITY OF OSHKOSH N° 26358 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS � C 6 G`� , �'� r� PLAN NO. � . � �/�+'T--c,�-.-t� r . OWNER DESIGNER USE/NATURE OF WORK � r -�"' � � � � � / �/��' , 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 � `� -r� '� �'t�'-�"�`. 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 $ ��' �/, a Permit Fee Paid $ ��• n �� Park Dedication $ ISSUED BY L"`��`�`+ Date /l � S� -�� Final/O.P. In the performance of thi work I agree to p orm all work pursuant to rules governing the described construction. � SIGNATURE � �✓ / AGENT/OWNER DATE ADDRESS � � � ! - /�/CE��'It,�-�/1� S'/�S/�jJ�' � �� . ��f`'/ TELEPHONE#