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Home My WebLink About0040902-Plumbing (toilet) f�/t� c � CITY OF OSHKOSH N� 40902 � PERMIT - APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT '' - - - - - - - - - - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS f �'2� ��'/ ` PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK C- 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 _Dis —WSoft —CBasin G��/,_ _Lav _Sh _DW —DF —San. Sewer �WC _FDr _SP —Ur —Storm Sewer —Sink —LTub _Eject —SS —Water Other ; �; O FEES: Valuation $ Z�`�C' d Permit Fee Paid $ � ` � � Park Dedication $ ISSUED BY l�.�� Date � 3 �� Final/O.P. `' � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ` r-'< �- �� C AGENT/OWNER D TE ADDRESS L�`�� °W�S ST OS7�KoSf� t,('.� .S�I4(�f 23S^^��]� TELEPHONE N