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Home My WebLink About0029287-Plumbing /� CITY OF OSHKOSH N°- 2g2g7 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN /� ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - C _`- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS � 7� � � PLAN NO. OWNER l7 C %lii�-�,�--- 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 (.�- �L Lav —Sh _DW —DF _San. Sewer ' �WC _FDr —SP —Ur —Storm Sewer —Sink �LTub Eject —SS _Water Other FEES: Valuation $ ��`' � � � C' Permit Fee Paid $ � �` � � Park Dedication $ ISSUED BY �— Date � l y' � Final/O.P. ��/��/�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE '�r �� -�'- l�-�� AGENT/OWNER DATE � ADDRESS TELEPHONE#