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Home My WebLink About0017168-Plumbing (2 sinks) � CITY OF OSHKOSH N° 17168 : ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� .�`�� PLAN NO. OWNER /D Ck_��i(� DESIGNER USE/NATURE OF WORK /?✓1 S i �I?TdS_�� 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�c��m � ' —BT —WH Disp —WSoft CBasin _Lav Sh —DW —DF San. Sewer —WC FDr —SP Ur —Storm Sewer �ink LTub —Eject —SS —Water Other r � FEES: Valuation $ �� Permit Fee Paid $ �� Park Dedication $ ISSUED BY�/it/�U' Date �—�� Final/O.P. In the performance this ork I r to rform all work pursuant to rules governing the described construction. : SIGNATURE AGENT/OWNER DATE � ADDRESS TELEPHONE# �