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HomeMy WebLinkAbout0008010-Plumbing � CITY OF OSHKOSH N° 08010 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � PLAN NO. OWNER v' DESIGNER USE/NATURE OF WORK � ��.,_���� � ��o 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 ,/�" t � � `7 �BT �WH —Disp —WSoft —CBasin �Lav Sh DW DF San. Sewer �WC —FDr _SP Ur _Storm Sewer �Sink _LT b —Eject —SS —Water Other � � aa FEES: Valuation $ �.,�(�,�� Permit Fee Paid $ �– Park Dedication $ ISSUED BY�,L� �o'�✓ Date FinaVO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE�,C/���"/���� �- ��'� � A NT/OWN R DATE ; ADDRESS .. TELEPHONE# �