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Home My WebLink About0011255-Plumbing (interior) � CITY OF OSHKOSH No 11255 �' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �S � !/� �l��- PLAN NO. OWNER L-�-i ,�-�.�'�-��``'�'� DESIGNER - � USE/NATURE OF WORK ��" BUILDING CONl RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueUSystem Heat Loss BTU'S . ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits . PLUMBING CONTRACTOR !BT �WH �Disp —WSoft —CBasin �Lav �Sh �DW —DF —San. Sewer —WC �FDr �SP —Ur —Storm Sewer �Sink LTub —Eject —SS —Water Other� �� -f /z ,�—J��/ � FEES: Valuation $ Permit Fee Paid $ � Park Dedication $ ISSUED BY �� Date � FinaVO.P. ��` ��-S9 In the performance of this work I agree o perform all work pursuant to rules governing the described construction. SIGNATURE �— \ � f�/T` — �V AGENT/OWNER DATE ADDRESS TELEPHONE# , �L NG PEt2MIT APPLICATION ADDRESS � DATE 1 �� P T�� I�� ` r—� ,; OWNEg �' � PLiJHIDER ' . N�iTURE OF WORK ��Jt/� �S� NET+1 RELAY REPAIR INTERIOR SAN SEW � �k � WATER Bathtub Catch Basin Lavato Grease Trap € Toilet I Sum Pu INSPECTION DAZE INSPECTION DATE Rit. Sink Local Waste � � / / Sink(other) Site Drain ' l0 /y Shower Laundry Stand Pipe ; Floor Drain Laund Tra � Dis osal Wat. Softner � i�IIN �� Dishwasher D. Fountain ;. Water Heater E�ector ' ��/��j �-P��a ' als Future outlets � f 7�.�/�� - �.) U� N�.�-1��.1� L� <f�-��I��J : ** V' la 'on notes o the reverse side � �//�/� � ; ;