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Home My WebLink AboutPlumbing CITY OF OSHKOSH N° 17124 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��I� � /� �� Y�' PLAN NO. OWNER .( � �'-; ' � -�/ �"��z_.. DESIGNER / / USE/NATURE OF WORK /`��'�� /i`" /'1 �/�FV��;� /f�i/c��(�Y!'";'� n�'��'(,:.`3' � , ,. „, ��ri� G- � � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height •Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits � PI 11MRWC' (�ONTFlA('TOR � '" � � '�� -�i —BT WH �Disp WSoft —CBasin � —Lav —Sh �DW DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer �Sink —LTub —Eject SS —Water Other °`j!— FEES: Valuation $ t��v�� Permit Fee Paid $�=� Park Dedication $ � `� � = � ISSUEDBY ��—�-=-�,-�� Date,-�� ' L�� Final/O.P. "� � �`- In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. �� -, SIGNATURE -"-� � �=�-°� �- _ �� 1GC9JT�OWNER DATE L ADDRESS TELEPHONE u PLUMBING PERMIT APPLICATION ADDRESS � � �l I�P;�� DATE � � /�> - %G PERMIT4k . / �/� � OWNER ,! l��„ _ _/-�•�� ..� PLUMB�R ��s ��' c�-••� i NATURE OF WORR /�C� ^ /� �/�� NEW RELAY REPAIR INTERIOR snx sEw �� k WATER Bathtub Catch Basin TORM SEW Lavator Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Loca1 Waste � �1 , � Sink(other) Site Drain '�, �N�, y�r ��/G�'6 %� �.;",.�.,-��r�:.,;�-f;�H--. Shower Laundry Stand Pipe � -.�,;�-,-. ._,. %/ Floor Drain Laundr Tra � � � �� I Dis osal Wat. Softner �� "�✓r � � � "A ishwasher D. Fountain � ��-tv� yl�� C'�1.;�.a, . �.� Water Heater Ejector , < �ca��er f�> Future outlets �,� rinals 1 'l�\1 F � 1 � � II t ��/ lJl� V}�(/Ln�-V — ((�.�/.V�. � l�(/ /^'' / ,.:: c /'s-.f � .�_ . �� . 1 / y (/ry .S . L l� , /Y�f.7 ** Violation notes on the reverse side