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Home My WebLink About0026178-Plumbing (dishwasher) F /� CITY OF OSHKOSH N° 261 �8 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - � � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS "a � �� PLAN NO. OWNER -��--° 1�G�..-L _-� DESIGNER USE/NATURE OF WORK � ..sL�2�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 Receptacles Circuits PLUMBING CONTRACTOR �'1 —BT _WH _Disp _WSoft —CBasin : —Lav _Sh �DW _DF _San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub —Eject —SS _Water �Other , j FEES: Valuation $ S� S�, G O Permit Fee Paid $ � � � �' � Park Dedication $ ISSUED BY � ��-��r Date ��'- 7 ` �Ll' �� Final/O.P. �?-� �� - � 1 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � / � �J SIGNATURE �f��C� l`�� ' / �� ,/-l`J%� AGENT/OWNER DATE ADDRESS �� C�L'/�/��'.�J �a��c� L-�-/v�-�/ 7.� --4 l5!'� , _�, �.�/ /. TELEPHONE N �