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HomeMy WebLinkAbout0021278-Plumbing (install bathroom) � CITY OF OSHKOSH N° 21278 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �Z-� � �C`� PLAN NO. OWNER � � DESIGNER USE/NATURE OF WORK � C, `C3����� �'��`��C1 BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR r 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 FEES: Valuation $ ��5�� Permit Fee Paid $ �d ' �' � Park Dedication $ ISSUED BY � � Date <`��'�6��� Final/O.P. In the performance of this work I agree to perform all rk pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER ATE ADDRESS TELEPHONE#