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0002048-Plumbing (remodel 2nd floor kitchen & bathroom)
� _ CITY OF OSHKOSH No _ 02048 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS ` �� ` ' o✓L. PLAN NO. -� { OWNER , z �''�"`�- =' � DESIGNER � � � � USE/NATURE OF W�RK �,���/t�,.� � .2�s�'d d�1OvY /J=i J!� -�-� i ?� _ _ 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 �o��Z'�'' �'���-5 —BT _WH —Disp —WSoft —CBasin —Lav f Sh —DW _DF —San. Sewer �WC —FDr —SP —Ur Storm Sewer �Sink _LTub —Eject —SS —Water Other �1'C.3 : FEES: Valuation $ l�) Permit Fee Paid $ �"� Park Dedication $ ISSUED BY�ti`�lL:'�� Date l Final/O.P. �� �? � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� ��<� � ^ � ` SIGNATURE � `" � � � � � �� AGENT/O R DATE - ADDRESS TELEPHONE#