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Home My WebLink About0006067-Plumbing (correct storm issues) � CITY OF OSHKOSH N° 06067 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : ADDRESS 7l6 S�_--�/!�(d��i.� PLAN NO. I 1 . OWNER A �'�'�✓ �c�� DESIGNER USE/NATURE OF WORK � ' 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 $ ? Permit Fee Paid $�� Park Dedication $ ISSUED BY Date (� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � c j ; �i -�'� SIGNATURE � '��— " � � T/OWNER DATE - ADDRESS TELEPHONE#