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Home My WebLink About0017840-Plumbing (toilet) /� CITY OF OSHKOSH N°_ 17840 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� /` . /vP.�J !/�?^� PLAN NO. OW N ER b�Q�—,/L��L�C�° DESIGNER USE/NATURE OF WORK � 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�`r/`�/ —BT —WH —Disp WSoft —CBasin —Lav Sh —DW —DF —San. Sewer �WC FDr SP —Ur —Storm Sewer —Sink —LTub —Eject SS —Water . Other I oa O'p FEES: Valuation $ o 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 l ENT/OWNER D � ADDRESS TELEPHONE# '