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0028608-Plumbing
CITY OF OSHKOSH N° 28608 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / <5:13 2 / l PLAN NO. OWNER DESIGNER /� USE /NATURE OF WORK / ...--'e --- 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 J I BT `WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC g FDr SP Ur Storm Sewer Sink / LTub Eject SS Water Other - #9 J C ,i�` . ->--�' FEES: Valuation $ ® d Q Q Permit Fee Paid $ G oo Park Dedication $ ISSUED BY 1.4 Date 71,9 Final /O.P. In the performance o is work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR / -` 9)--- NT /OWNER �� (� I1 DATE ADDRESS - � � , - ���9■S TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS. 7 g DATE . - - o r 7.2 twin* g g m s- own NATURE OF WORK �l� '" - ' :�.�' 110 1l .ur �� - / NEW RELAY REPAIR • •RIOR - - T j SAN SEW # # WATER / Bathtub / Sump Pump v ■ A. / Lavato / E' ector / Toilet Water Softener s 4 or, ON 1 = „ IN - CTION DATE Kit. Sink Drinkin • Fountain R �_ n / 2 —11 Sink Other urinal L' ( 4 � �� ` / Waterheater / Slop Sink q G 3 -tea , Shower Grease Tran . SZ5©°. Co g Floor Drain 1/11 /// Local Waste 7 7 / Laundry Tub Site Drain 1S �,/ � /j Disposal I. Laundry Standpipe/ _ �- ` / Dishwasher C tch Basin /j 1) r1.)e-t e" ) - ** Violation n ote on the reverse side(