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Home My WebLink About0019009-Plumbing (toilet) � _ CITY OF OSHKOSH N°_ 19009 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS �°�l[ L��7 //2'2t�' „�a�' PLAN NO. OWNER �7`�S/�1� DESIGNER USE/NATURE OF WORK "�� ;;�" P 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 � l�'y- —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 � ��.-�� DateGr Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� `��-j' C.�� ENT/OWNER DATE ADDRESS TELEPHONE#