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HomeMy WebLinkAbout0018751-Plumbing (replace fixtures) /� CITY OF OSHKOSH N° 18751 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �f� �.�/ /'�C'-� l� �� PLAN NO. OWNER ��S v1�J� L �P.I�P �J��rs/ �/Gc�- al14 ��L/��/i�/c� _ J� DESIGNER USE/NATURE OF WORK�CC' � �-;��1�cp 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 ✓vli1� Si t�si BT _WH —Disp —WSoft —CBasin �Lav —Sh —DW —DF —San. Sewer �WC FDr SP Ur Storm Sewer Sink _LTub —Eject SS —Water Other !/p !'/W FEES: Valuation $��1�) Permit Fee Paid �r3-Z Park Dedication $ ISSUED BY ?�g�`�.--...� Date 6 '��U Final/O.P. � -� ` /b In the performance of this work I agree to perform all work pursuar,: ;o rules governing the described constiuction. SIGNATURE � C� /�/��, AG NT/OWNER DATE � ADDRESS TELEPHONE# �