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Home My WebLink About0044077-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~d; N~ 44077 ~P_E~ _ _ ~l~~ _~ _ ~T~ _ ~_ ~~E~ _ ~ _ ~~B~ _~_ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ l-5go ~~~ I(~~ PLAN NO. ADDRESS OWNER DESIGNER USE/NATURE OF WORK ,fs-r ~ ~~~ f BUilDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR . Heat 0 AlC 0 Vent 0 Fuel/System Heat loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Circuits Fixtures Switches Receptacles ,/ PLUMBING CONTRACTOR ~ o--e::-/ r BT ~ WH .-l. Disp ?-- lav _ Sh -L OW YWC -L FOr -L SP l Sink L ~ /k- t/C/ - Eject Other _Ur _ CBasin _San. Sewer _ Storm Sewer ~ _ WSoft _OF _SS _ Water FEES: Valuation $ ISSUED BY )4..rO &, 0 () PZz~ Permit Fee Paid $ Date s- ,;;. _ e:. C'J // :;V;0-:s Park Dedication $ Final/O.P. In the performan~ce of Ih;S""work 1 agree ::':-aJ;k pursuanllo rules govem;ng Ihe dosehbed construction. SIGNATURE __n_ ?~ 3'~/S---;ls AGENT/OWNER DATE ADDRESS TELEPHONE /I ADDIESS OWNEll NATtm! SAN SEY iJA'mR . SPECTION "atJMime nurr APPLICATION . DA%E ~Pj~~~T# ~ ~R-- punmn ' p'o VV6? 7 REUY REPAIll DA'l'E msncnON &{G-zjf 1~L)v- z:.~fjfl ~) ~//;; P -Alt) (f - 1~1 ~ life; ;3 f IY/ F~p / &~~f ** V' DAm nrrEllIOJ1 # 2.. Bachcub z- Lavato Z-- Toilet I Kit. Sink SiDk(other { W te heater v '_._~---_..--_._-..---,- .