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Home My WebLink About0016955-Plumbing (toilet) � CITY OF OSHKOSH N° 16955 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��C�.Z � �� PLAN NO. OWNER c,�(�r'�/`CC' ILvYr- 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 ❑ FueUSystem 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 Lav —Sh DW _DF San. Sewer �WC FDr _SP —Ur Storm Sewer Sink LTub —Eject SS —Water Other i � / o'� FEES: Valuation $�� Permit Fee Paid $ ! � Park Dedication $ ISSUED BY�� Date� "—�-2 "_�f� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' AGE /OWNER ATE c ADDRESS TELEPHONE# �