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0000459-Plumbing (addition)
/, CITY OF OSHKOSH No 00459 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� W �d % � PLAN NO. OWNER C/��� � �a � DESIGNER USE/NATURE OF WORK � � ir � a �����2�� � i�,��o� 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 FEES: Valuation $ ['�D` rmit Fee Paid $ �— Park Dedication $ ISSUED BY �� Date � � Final/O.P. ������ - In the pertormance of t work I agree to perf rm all work pursuant to rules goveming the described construction. SIGNATUR �O AGENT/OWNER ATE ADDRESS ' : TELEPHONE d