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Home My WebLink About0026172-Plumbing (dishwasher) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 26172 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~CL~7 t7 PLAN NO, ADDRESS OWNER DESIGNER ~~~~ 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 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR !(~ :~_ BT _WH _Sh _Disp ~DW _SP _ WSoft _DF _ CBasin w/C- -.-- Lav ., - San. Sewer _WC _FDr _ L Tub _Ur - Storm Sewer _Sink Other _ Eject _SS _ Water FEES: Valuation $ ISSUED BY s;- ,J- -S-: d 0 Permit Fee Paid $ W ~t!'~ Date v Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ /' /T~./ 7/7 ---a,v.nW ' 7~-b ~~h //-t:17-Y/ AGENT/OWNER ~///;>/ .~~~ DATE ADDRESS ~...f/-o9Yo TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS "fa? N~ DATE 1-)~ OWNER . /~ .}( ~ PLUMBER ~ . NATURE ~ORK ~~J ol,~~''lJ 4A~fl. . ~v RELAY REPAIR INTERIOR PERMITfF ,/ ~ I } ;)- Hi2t'Jp~ , 6:Zs. ~ SAN SEW iF iF WATER Bathtub Catch Basin C:'1"I"I1:!M sm Lavatorv i Grease Trap Toilet I SumnPunm INSPECTION DATE INSPECTION DATE Kit. Sink I Local Waste AJo II 7-r3^s' Sink(other) Site Drain Shower Laundry Stand P1.pe Floor Drain Laundrv Tra.., Disnosal Wat. Softner ,. Dishwasher D. Fountain Water Heater Ejector n....;.. <ill s Future outlets r** Violation notes on the reverse side!