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HomeMy WebLinkAbout0028445-Plumbing (fixture replacement) /'� CITY OF OSHKOSH N° 28445 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �] SIGN ❑ ZONING FLOOD PLAIN HEIGHT ( 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � C'`'' ��•R'--� -L— PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK „���� r,� C .t- ��,-- ` �S � 0 � 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 r ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � Fixtures Switches Receptacles Circuits ` � PLUMBING CONTRACTOR —BT _WH Disp WSoft CBasin F �Lav —Sh �DW _DF —San. Sewer rWC _FDr —SP —Ur _Storm Sewer ' € �Sink _LTub —Eject —SS —Water � Other F . T FEES: Valuation $ �� � � '� � Permit Fee Paid $ f b ' � d Park Dedication $ F ISSUED BY �� Date S � � Final/O.P. f � i In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �f�� �� ° F AGENT/OWNEFi DATE � ADDRESS �l �1 "Z .� ����'e- �.- �3 3—6 7 y 7 TELEPHONE# - 1g X