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Home My WebLink AboutPlumbing �`'/C N° 37586 CITY OF OSHKOSH � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�'] SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� ✓�� PLAN NO. OWNER ��.Y�-..r�,-__ -SG��vCF-�_..r � DESIGNER /// . USE/NATURE OF WORK �_`'• ' . =.�`'.. �� '�� /�� •=�- . .��_- � �. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit i1EATING 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 L- ``��Z� �� f 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 $ F�j"`� "`� Permit Fee Paid $ �'� " �� Park Dedication $ ISSUED BY �—� Date � �� Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. ,�' / ✓/ /� i , SIGNATURE � �� /`� ��`�-� � �' AG T,'OWNER DATE ADDRESS TELEPHONE# . - �(G / PLIIt�ING FEBMIT APPLICdTION / � �DDRESS �a�-S � �e�, �- DATE %��7�� i PER2QT# �7f�>� OWNER � , � ��s«�_._ ,S'�z � , L ��-� NAS'7RE OF t70R& �-z,-�<.� ��.�2 '`'-� .�.� �� f7.jti NESJ RELAY BEPAIR IN1EffiOH cL SAN SEW � WATER Bathttsb � Sum Pu Lava[u Ejector INSPECTION Toilet Water Softener �TE INSPEC1ZoN DA� Rit. Siak Drinkin Fountain Siak{other W te heater Slo Sink Grease Tra - Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin / �� ** Vietar;.... .. -- -- ti= reveree eide . _ owr�ER _ �nxsss lal� Lit'r, i �: _ DATE ,� / !3 PERriIT # USE ,>i �i �"� ,�Wv�i� _ Wo�[k consista of GENERAL CONTRACTOR � ��c,.�_ c: ic:Dt;�.�.; ; �c..e - ?� � �� i MASON CONTFACTOR ZONE Width of lot DATE ZNSPECTIONS REMARKS � r� y' 3 — Gc� �//" �� ' — — •rp c: ��-�2c: u '�f�-' - ,� o FX�3i/�� — � w 0 F y a m A MAILIc1C; aDDt�Ss Front of lot