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00041681-Plumbing (laterals)
CITY OF OSHKOSH N2 41681 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGSIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS d2 / v Q PLAN NO. OWNER L -r-ei DESIGNER USE /NATURE OF WORK / v /��(� �J — 6 `-riG/ �1L- 1 ,---•/-3,..--- 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 p Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR .__ V.2-7-__ ilL.,/, — BT _ WH _ Disp _ WSoft CBasin Lav _ Sh _ // � DW _ DF / San. Sewer ( fv C" WC _ FDr _ SP _ Ur ( Storm Sewer / /� / (J e — Sink _ LTub _ -F Eject — SS L. Water Other FEES: Valuation $ 9 0 o Permit Fee Paid $ 3 0 ' © gti Park Dedication $ ISSUED BY Date b 9P Final /O.P. In the performance of this work I agre to perform all work pursuant to rules governing the described construction. SIGNATURE U *1.0„1„/ y AGE /OWNER f DATE ADDRESS i ? / g W 0 1 A 73S - / P,2) TELEPHONE # PLC NGG PERMIT APPLICATION 1.'0 ADDRESS, a - -J /S/9 PERMIT# c9-7C �/ OWNER L , /f DER NATURE OF ORE -S O _ , "? , WI RELAY _ REPAIR ibeNDELIOR - SAN at; 6 J C • • WATER / (r-- Bathtub Sump Pump STORM SE J ` t JG Laystor9 Ejector Toilet Water Softener '- 4 • DATE INSPECTION DAB Kit. Sink — Drinkin • Fountain Sisk Other Urinal /v0/-r Waterheater Slop Sink S 9 / 9j c7 Shower Grease Trap / Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe .Dishwasher Catch Basin ** Violation notes on the reverse side( ... ....r - -r- ..,v. .:.R. TT,T R . Y yY6 eyairitaa _ - TO i . ��j� V • • CI TAI tweed lI Ou WERE c3 0 too a mat M i p C3 'flits to see you OF . \iI <it "A /�� PHONE ( ) aFtlit MESSAGE i ■/i IM y OPERATOR: 23-027 -200 SETS I I a 23 -024 --400 SETS