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Home My WebLink About0016984-Plumbing (remodel duplex) � CITY OF OSHKOSH N°_ 16984 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /� �-�C/ �� PLAN NO. OWNER C__r''Y2//�� i , ��'//�� DESIGNER USE/NATURE OF WORK � 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 PI IIMRW(� C�nNTRAC�TnR �� 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 $��d Permit Fee Paid $ �� Park Dedication $ ISSUED BY��--�,�� Date `^ �� '— �� Final/O.P. In the performance this ork I gr orm all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE#