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Home My WebLink About0030196-Plumbing (kitchen sink) r : � /� CITY OF OSHKOSH N° 30196 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�J SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS /(� Q��.��-/ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK /�� • �.p pQ'(� 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 � BT _WH _Disp —WSoft —CBasin �P/� 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 � Date .� � y Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��C��1 ��J1 �� D 'r(.� �Z AGE WNER DATE ADDRESS l�`-�–� ��r.�r� a31 S��J TELEPHONE# ��