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HomeMy WebLinkAbout0024549-Plumbing (toilet) /� CITY OF OSHKOSH N° 24549 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�J SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' ' - - - - - - - ' - - - - r ' - - - - - - - - - - - - - - - - - - - - - - - ' - - - - - - - - - - - - - - � - - - - - - - - - - - - - - � �-�,���c�� , ; ADDRESS � '� �'� '� PLAN NO. OW N E R �•-.K'"``��-,� DESIGNER USE/NATURE OF WORK t-'� -� 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 �'�`�' �-�J —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 $ � �� ``u U Permit Fee Paid $ � �^ � � Park Dedication $ ISSUED BY � �`�J�'jy Date � "�` � `�',� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � SIGNATURE �� AG NT/OWNER DAT - ADDRESS TELEPHONE#