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Home My WebLink About0011138-Plumbing (toilet) � _ CITY OF OSHKOSH N° 11138 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � e�� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK - ` � BUILDING CON�'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 FEES: Valuation $ ��'�(� Permit Fee Paid $�, �`"— Park Dedication $ ISSUED BY�,�Z� Date ��3 �X Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �,� �� SIGNATURE;� �� . � �' AGENT/OWNER DATE � ADDRESS TELEPHONE#