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Home My WebLink About0028600-Plumbing (city re-hab) � _ CITY OF OSHKOSH N° 28600 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - ��- - - - - - - -�. - - - - - -r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ^� �( � PLAN NO. OWNER 'S � �- Z-z _. DESIGNER USE/NATURE OF WORK C-� •X �� J 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 � ��"�-P�-' 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 $ f �p� • �J `' Permit Fee Paid $ ��'� d � Park Dedication $ ISSUED BY �� Date � �� Z- Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � ' �- i� �� SIGNATUR�-'� ��,�� '�/��j �� - ,� �. rt�� l AGENT/OWN�R"') ' �� DATE ADDRESS % �i � I ��,�/ �%:v�� f f/, /�/'/ ,- �� j�`�/��,_' + ��--� �' ' �-� TELEPHONE#