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Home My WebLink About0020776-Plumbing (interior) � CITY OF OSHKOSH N° 20776 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS a�� '�- PLAN NO. OWNER C��r�Llm �r�-�'� DESIGNER USE/NATURE OF WORK �Qw 'S �` I\ BUILDING CON7RACTOR 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 � �BT �WH 1 Disp —WSoft —CBasin � �'`— 3 Lav �Sh �DW —DF —San. Sewer 3 WC �FDr �L SP —Ur _Storm Sewer �Sink �/��C•� . _Eject —SS —Water Other i�� FEES: Valuation $ T��`O 6 Permit Fee Paid $ 6 a.C+ 0 Park Dedication $ ISSUED BY C` � '�-`� Date�%S/�O FinaVO.P. �`��/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. . SIGNATU. - ��'s �G AGENT/OWNER DATE 2 / ADDRESS �� y �s'�L� TELEPHONE# PLUMBING PERMIT APPLICATION ADDRESS °��S"`�fS' �� .V,-,_ DATE � -a-o —�c: PERMIT�� °�� 7��0 ` OWNER - `� PLUI��R � � NATURE OF WORK __ /C,-�-� S �=R � NEW REL'AY REPAIR INTERIOR SAN SEW �6 �� WATER Bathtub / Eatch Basin RM SEW j Lavator // Grease Trap � Toilet � Sum Pum INSPECTION DATE INSPECTION DATE � Kit. Sink � Local Waste Sink(other) Site Drain t Shower / Laundry Stan Pipe ! Floor Drain / Laundr Tra �� _�-� � �� / Dis osal / Wat. Softner Dishwasher D. Fountain V��- �� ` � - I-3- �� Water Heater / Ejector � �Ja�/y� inals Future outlets / ** Violation notes on the reverse side