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HomeMy WebLinkAbout0011137-Plumbing (kitchen sink) n CITY OF OSHKOSH No 11137 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS o� � �/� ��// PLAN NO. OWNER f�Zv�_ �� ��'1��I Ct Z�'L� DESIGNER USE/NATURE OF WORK�/ ,�L1.rf� �� � /'�C � �'�2�,�� BUILDING CON��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 � � P�--- —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 $��� Park Dedication $ ISSUED BY������� Date����� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� ), SIGNATURE /� �u �� ' ' � AGENT/OWNER DATE ADDRESS TELEPHONE#