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Home My WebLink About0009486-Plumbing (toilet) � CITY OF OSHKOSH No 09486 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG r�=SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� d,� � C-(i(/ �Ar/'y?/� PLAN NO. OWNER // ��`/ DESIGNER USE/NATURE OF WORK � BUILDING CONT'RACTOR 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 —Lav —Sh —DW —DF —San. Sewer �WC —FDr SP —Ur _Storm Sewer —Sink _LTub —Eject —SS —Water Other crz.� � FEES: Valuation $�j ermit Fee Paid $ Park Dedication $ ISSUED BY Date Final/O.P. In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. `i� ��✓'�%� � � SIGNATURE Z� AGENT/OWNER DATE ADDRESS TELEPHONE N