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0042513-Plumbing (addn to #41117)
CITY OF OSHKOSH N° 42513 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG ,pJ SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 43 V i w 14 4 7 PLAN NO. OWNER DESIGNER USE /NATURE OF WORK L ��'�G� 6/■1/7- 1 BUILDING CONTRACTOR Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR `V i--- y- P BT WH Disp WSoft CB sin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS __Water Other FEES: Valuation /4=3 O c 63 Permit Fee Paid /.O ©I Park Dedication ISSUED BY Date /e/ 7 Final /O.P. '2r" In the performance of this work I agree to perform :II w. k pursuant to rules governing the described construction. A SIGNATURE AGENT/0 NER DATE ADDRESS ∎5S l/ 7--- TELEPHONE 1!.' 1 PERMIT APPLICATION /C;' ADDRESS. �3/ /A./ DATE 10 /3/7 i PEar S 2 ,s7 3 OWNER P �ti'` C/ NATURE OF WORK a NEW RELAY REPAIR INTERIOR SAN SEW DATER Bathtub Sump Puny __J!!! STORM SEW Lavatory Ejector Toilet Water Softener INSPECTION DATE INSPECTION DATE Kit. Sinlc Drinking Fountain 0 Sink(other) Urinal Waterheater Slop Sink F 9 y l� Shower Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe ,Dishwasher Catch Basin Violation notes on the reverse side]