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0031874-Plumbing (new bathroom above garage)
CITY OF OSHKOSH N° 31874 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG f SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS S—Z•g— PLAN NO. OWNER /1/ � � DESIGNER 7— -r° USE /NATURE OF WORK /I t-c Nt- C / 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 t i-z__r_,__,--Z---- —/ BT _ WH _ Disp __ WSoft — CBasin _1 Lav _L Sh _ DW DF San. Sewer WC — FDr SP Ur Storm Sewer Sink -1-- LTub Eject SS Water Other FEES: Valuation $ 3 6 e O • cs O Permit Fee Paid $ '2 e • © a " Park Dedication $ ISSUED BY 201/ Date / - 2- /0 Y Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. -7 )) ) SIGNATURE J JAL-' ; l ' ` t , 0 . h S .3 J; ,/ AGENT /OWNER DA , � � DATE ADDRESS TELEPHONE # PI.= PERMIT APPLICATION ADDRESS, - ? - 6-- . 2 s - DATE . / ° - a- -9 PERMIT# 3 / t J K OWNER , Ad/' // PURSER . 0 NATURE OF WORE - _ 4 ' cZ O z� _ _, ' ,'- - NEW RELAY REPAIR a • RIOR SAN SEW # # WATER Bathtub _� Sump Pux ,S=TORM SEW _ ^ �Lavator4 Ejector / Toilet Water Softener INSPECTION DATE INSPECTION DATE Zit. Sink Drinking Fountain Sink(other) , . Urinal , ‘67 . - a D`- e Waterheater Slop Sink / Shower Grease Trav Floor Drain Local Waste 7- Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin ** Violation not on the reverse side(