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1993-Plumbing (toilet & lav)
Y!f CITY OF OSHKOSH N° 36763 n PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �( SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - � - -` - - - - - - - - - - - - ' - - - - - - - - - - - - - - - - - - - ADDRESS � �s � ��'�-"���-d`�»�� PLAN NO. �I— OWNER �1 C�r.ir-c�-�-�- � v��� DESIGNER USE/NATURE OF WORK r�'�'��� // C '� ��'�� �� . `'-``�'�"""� 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 �' � �^-"�'� —BT WH —Disp —WSoft —CBasin �C —L Lav Sh -DW -DF -San. Sewer �WC —FDr —SP —Ur —Storm Sewer Sink —LTub —Eject —SS —Water Other � � FEES: Valuation $ �e�C: , G C permit Fee Paid $ l�� - c� �� Park Dedication $ ISSUED BY � Date ���`��� -� Final/0.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �l i /�� 1i2-,� �d�t,- �: %'3 SIGNATURE �� �% � � AGENT/OWNER DATE ADDRESS TELEPHONE k