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Home My WebLink About0037740-Plumbing (order to correct) �/c � _ CITY OF OSHKOSH N° 37740 PERMIT APPLICATION AND RECORD : TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �J SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - 1- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �O�/ �'�lA 1 PLAN NO. OWNER �-►�I1C�4�C l'� A7!-.��,��:��3� , DESIGNER USE/NATURE OF WORK �J/�NBn..�� _��,�Q l� 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 GLYI'1)'hB'1�� —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 $ S 7U• �° Permit Fee Paid $ �v• �� ' Park Dedication $ ISSUED BY_ Date / a-��g`I Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �^ �->_. SIGNATURE • ��' �`" `�� AGENT/OWNER DATE ADDRESS TELEPHONE#