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Home My WebLink About0043842-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD V6..L N!! 4 3 842 ,,- ~~E: . . ~l~~ _~ . ~~.l? _ ~~E~.l? ~~ I. ~'~~ .~ . :O_N~N_G. _ _ _ _ __~~~D. ~~'~ __ . . . . ~~'~~T. __ . . ADDRESS {~/c)- if . ~.--:"'..A C-4/ PLAN NO. OWNER L -<d~f -C-zt7~. DESIGNER a USE/NATURE OF WORK hL-ff "1 .i:'pL It! BUILDING CONTRACTOR Size Foundation Sq. Ft. # 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_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR /""> ~~r7~~~'----- _BT _Lav _WH _Sh _FOr _ LTub _Disp _OW _SP _ WSoft _OF _ CBasin -L San. Sewer f f J C L _WC _Ur _ Storm Sewer -f- Water I~~ _Sink Other _ Eject _SS / FEES: Valuation $ ;2-7 eND ,0 (;;y ~~ ISSUED BY Permit Fee Paid $ Date ~ _0 0 1/ ~/17/17'S- Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SlGNATU:='''~ N\:~ AG TIOWNER DATE ADDRESS ... - TELEPHONE # REI.AY PLlDmING nDI'! APPLICATION ~ C . DAU III~/ ?..r n1OO'!# . ~ PLtlHBnl Stl4~ ~.,t: ft/ ~"(::Y.-<- nrr!RIOR. # Badlcub Lavat:o Toilet: DA'IE 1Ci t:. Sink Sink(odler W te heater ~)- f ? f: 'f 7---' .;:2 /.;;1 ~ # penON DATE INSPECTION 0;~M~4'~~ .~u/~J ~ Floor Drain Laundry Tu Dis osal Dishwasher ** Viola~ion notes on the reverse side{