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HomeMy WebLinkAbout0031674-Plumbing (1st floor lav) f � CITY OF OSHKOSH N° 31674 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS ���� ��� PLAN NO. OWNER ���"-�'' DESIGNER USE/NATURE OF WORK � --�=r�- � t 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 � � Lav Sh —DW —DF San. Sewer —WC —FDr —SP Ur —Storm Sewer —Sink —LTub Eject —SS Water ' Other � � a � 2� FEES: Valuation $ ���- �' � Permit Fee Paid $ � Park Dedication $ ISSUED BY � Date �� �°3 �Z Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �Z AGENT/OWNER DA E ADDRESS 1�3��. ��'•�S � ��S'�{��I� TELEPHONE#