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Home My WebLink About0038076-Plumbing (addn fixtures) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 _ y/o 38076 OWNER G- DESIGNER F-~~ ~~~'F Y.S7bO USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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 i Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR /l/~ _BT _WH _Sh _FOr -LLTub _Disp _OW _SP _ WSoft _OF _ CBasin /p/ _Lav _ San. Sewer _WC _Ur _ Storm Sewer _Sink- Other _ Eject _SS _ Water FEES: Valuation $ /7S-_o 0 /1/ Permit Fee Paid $ Date I /0,,0 0 / /-//?~y ( / . Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~ ~ d-I1-j4- \ ~~ ~ ADDRESS TELEPHONE # ADDIESS OWNER NAmaE OJ' woax NEtJ y/V PEBHIT# ~gd?;j SAN ~ # I iJAn:R Bathcub SUTTlD Punm Cf'J:'U Lavato1:'"1 Ej ector . Toilet Water Softener ~ !:NsP-eC'!'ION DAn: mSRcrIOR DAn: ltit. Sink Drinkin ~ Fountain . Sink(otber) ThO;"!> 1 ; Slop Sink W::!.terheater Grease Tran Floor Drain Local Waste I Laundry Tub Site Drain Disposal Laundrv Standpipe Dishwasher Catch Basin REI.AY BEPAIlt ** Viola~io!t !totes Oft the -reverse side~ A /." .. ..'