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0043185-Plumbing
H tit 43185 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGR1 SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS' A PLAN NO OWNER DESIGNER USE/NATURE OF WORK �� /'C // L ,-S'T 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 P PLUMBING CONTRACTOR BT _ WH Disp _ WSoft _ CBasin Lay _ Sh _ DW _ DF — San. Sewer WC _ FDr SP _ Ur — Storm Sewer I Sink _ LTub _ Eject SS — Water Other � _o a FEES: Valuation $ c �o © P Permit Fee Paid $ Park Dedication $ ISSUED BY ��% Date /4, ` 9 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE YENT/OWNER ✓ 12/J'o'T y DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION S . 'VO 4 DDPZSS, Y' �' DATE ' & " OWNER , 6, - , v 15 _ PEffi�?# 3/ S P (` /3e tom✓ NATURE OF WORE / ' ,, / - S / ,e-t -,L NEW RELAY REPAIR INTERIOR SAN SEW r STATE 0...—._ # # Bat3itnb Su • Pu Lamm, al E'ector / INSF ��� Toil Water Softener ON Kit. Sink 1 1 Drinking Fountain Ps) V ai Sink(other) Urinal Waterheater Slop Sink ,Shower Grease Trap ,Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe pipe Catch Basin wIr- '' 3 -, , -......0 Irwr .r , ./tem, 6 '