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Home My WebLink AboutPlumbing (laterals) CITY OF OSHKOSH N° 17458 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG .�� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - r . ADDRESS ��1) /I� � �� PLAN NO. �' �'^�9 i OWNER (_, = � �� ..'�,.. DESIGNER � ' / _ �" USE/NATURE OF WORK SF - - i-.�. �;-�� _�_�. �7 s� �,v�_._, /-:-��T�: r �� . BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueliSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures — Switches Receptacles Circuits i PLUMBING CONTRACTOR ��-r �, ��'�� — , —BT WH Disp —WSoft —CBasin � —Lav Sh -DW -DF �San. Sewer��'�r�L�l —WC —FDr —SP Ur �Storm Sewer�� c — j �Water � �� —Sink LTub E ect —SS �-�� i Other 7 ,�z, FEES: Valuation $ / S�,' Permit Fee Paid $ � � Park Dedication $ ISSUED BY ��-�-'-��' � Date � - - y� �Z% Pinal/0.P In the performance of this work I agree to perform all work pursuant to rules governing the described construction. X � y�� '� � � �,_ /. � /� � SIGNATURE/ 1 • ��'� �� - � 'J �i � �-} J�- 7 rU AGENT/OWNER DATE ADDRESS TELEPHONE N PLUI�BING�PERMI� APPLICATION , 1�%� . � � �� ADDRESS -��! f' � i� - _ DATE -- - � - PERMIT dk ��'. �� . � � OWNER .�'��.�— .- . . . � .� PLUMBER � � �� / :� �f - NATURE OF WORK ��-r— � -' � NEW RELAY REPAIR INTERIOR st� SEw — " 4k �� WATER ' athtub Eatch Basin STORM SEW � Lavator Grease Tra � - Toilet Sump Pump � INSPECTION DATE INSPECTION DATE Kit Sink Local Waste : � Sink(other) Site Drain �%�.��1 � Shower Laundry� Stand pipe l � Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets ** Violation notes on reverse side