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HomeMy WebLinkAbout0013387-Plumbing (remodel) � _ CITY OF OSHKOSH RD N� 13387 PERMIT APPLICATION AND RECO TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �����dY� PLAN NO. OWNER ����.i%' L, DESIGNER USE/NATURE OF WORK � � � n, ` r 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 c�!a/Y�12��7�=-� .�BT �WH —Disp —WSoft —CBasin �Lav —Sh —DW —DF —San. Sewer �WC —FDr —SP —Ur —Storm Sewer �Sink —LTub —Eject —SS —Water Other – o+ L/p�D � FEES: Valuation $ Permit Fee Paid $ Tn Park Dedication $ ISSUED BY Date ��� . FinaUO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. `--_�--� ,�--_ _--� � SIGNATUR� � �� � � �� AGENT/OWNER DATE ADDRESS \� TELEPHONE�