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Home My WebLink About0021538-Plumbing (interior) � _ CITY OF OSHKOSH N° 21538 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � d /v � 'e- PLAN NO. OWNER 1�� DESIGNER USE/NATURE OF WORK ___ ��-� SY � 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 / e� yBT __I_WH —Disp —WSoft —CBasin �Lav _Sh � DW DF San. Sewer 3 WC �FDr �SP —Ur —Storm Sewer �Sink �LTub Eject SS —Water Other l� �� % � ,�� FEES: Valuation $ �5�� •� � _ Permit Fee Paid $—� i � �' f Park Dedication $ ISSUED BY � �'--� Date �`j � 9� Final/O.P. � �'��y�9� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� '�6� AGENT/OWNER DATE � ADDRESS TELEPHONE#