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HomeMy WebLinkAbout0021343-Plumbing (toilet) /� CITY OF OSHKOSH N° 21343 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS '17 � � �•�Z.U-��� PLAN NO. OWNER � � / DESIGNER USE/NATURE OF WORK � � � U BUILDING CONT"RACTOR Size Sq. Ft. # Rooms # Stories Height .Foundation Class of Const. Occupancy Permit H6ATING 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 t'`� —Lav _Sh _DW _DF _San. Sewer /WC _FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS _Water Other FEES: Valuation $ � G Permit Fee Paid $ f Q ' � U 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. a SIGNATURE AGEN NEF DAT ADDRESS TELEPHONE#