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HomeMy WebLinkAbout0027389-Plumbing (dishwasher) � CITY OF OSHKOSH N° 27389 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG �] SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - •jT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ���� ���� �, ADDRESS � � , PLAN NO. OWNER �- � DESIGNER USE/NATURE OF WORK � �-� C� 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 Rece tacles P Circuits }LUMBING 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 $ s�� � a d Permit Fee Paid $ ��� a � � Park Dedication $ ISSUED BY- � Date � ` �c� "��- : Final/O.P. �-GJ C; - �� In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE a /���2 AGENT/OWNER - ADDRESS—I Y� oZ cS�/S `-�t•e. � DATE �33-�� Y� TELEPHONE#