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Home My WebLink About0042753-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD SL 3tJ Ng- - 42753 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG;g( SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS-3.JD ~. J~ OWNER ~S PLAN NO. DESIGNER USE/NATURE OF WORK '-'\ll w ~(rmff() - 0\ ctDlc\(l rQ1' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEAT~~G^CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System A Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR D. \-\o.f\~~n _BT AWH _Disp ffiav _ Sh _ OW ~C ~r _SP _ WSoft ~F _ CBasin -t- San. Sewer <f /l ~S' C- _Ur _ Storm Sewer L Water h/). r ~ _Sink Other _ L Tub _ Eject _SS FEES: Valuation $ Permit Fee Paid $ Date / .;:20 , <0 6 /' .. / .....:::z..a. //' ----/ ... Park Dedication $ Final/O.P. ISSUED BY all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE if Y3V ADDBESS .s.9~ I I ~ OWNER ~ ,II , '4~ NATmU!: 'OF WOlUC jfJ~ ~. - () . '_/JtJL NEtl RE1.AY REPAIR IN'l'EllIOR U /f ( V/I&S ,I ~ SAN SEW I 'iJA'IER ~ Batht:ub Sump Purno <::.,.n~M <::'!:"U Lavat:Dr1 Ej ector Toilet: Water Softener INSPECTION DAn: INSP!:C'!ION DAn: Kit:. Sink Drinkin!? Fountain ({LS- Sink(other) n' 1 ., s~ liT" .n::l W::lterheater Slop Sink Grease Tran ! Floor Drain Local Waste Laundry Tub Site Drain , Disposal Laundry Standpipe Dishwasher Catch Basin "' , /7/1 PLUMBING P!:lOOT APPLICAnp~ .37oSr I(~ DAn 1/~S/7 Y P!:DIT# ~~ 7 -S:5 ~ ** Violation notes on the reverse 9ide~