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0020683-Plumbing (water softner)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 20683 TYPE: BLDG D HTG D ELEC D PLBG,af SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - -, - - -~- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / ?Cs ~ PLAN NO. OWNER }(.f2.-Y'- s;: DESIGNER USE/NATURE OF WORK w~s~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. 'e HE1TING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR // /tI'~(1J~ ~~ _BT _WH _Sh _Disp ---.L WSoft _ CBasin k)~ _OW _OF _ San. Sewer _SP _Ur _ Storm Sewer _ Eject _SS _ Water _Lav _WC _FOr _ L Tub _Sink Other FEES: Valuation $ ..2---&6 ~ 0 Z5. Permit Fee Paid $ ISSUED BY ~.~ ~ Date ./-i) ., C) () /--l> /,$ 7'92> / / Park Dedication $ Final/O.P. /D - :3 - 9D In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~~J AGENT/OWNER /eJ '-J-:7'J DATE ADDRESS TELEPHONE # NATURE OF WORK ~ ~NG PERMIT APPLICATION . , Ida. ,.' DATE (O-..L-?O PERMITiF,~6S-3 k;;~:/L S'e/' - ~! PLUMBER. Ar:;;,7 (j)ci~)6s'J-- CA/! ADDRESS OWNE R . SAN SEW iF :/,b WATER Bathtub Catch Basin STORM SEW Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain rDH 101 ~//f) Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal J Wat. Softner Dishwasher I D. Fountain 40btl 1Plf: ~ ~ 2h - A1~ Water Heater Ejector Urinals Future outlets r NEW RELAY REPAIR INTERIOR /i1a~- · ~~~ II- ~~ 7.3# (** Violation notes on the reverse sidel