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Home My WebLink About0039397-Plumbing (laterals) �� CITY OF OSHKOSH N° 39397 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS � �� 3 �/ � � ---Z-�-�c� PLAN NO. C � OWNER 4� -�-�---- DESIGNER USE/NATURE OF W K , � �� i V' `� � --� � � BUILDING CONTRACTOR 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 FEES: Valuation $ �'r�d � � � Permit Fee Paid $ �� - � � Park Dedication $ '/�, / , ISSUED BY GJ� Date � 'z � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. SIGNATURE � �� Z ^ �� AGENLOWNER DATE ADDRESS �``S 7� L..v< /�/f� /�l,l� C.�� ^(n�S'C� TELEPHONE# : . . � �PLLUi�II� PEBI�? APPLICATZON aDDRESS 3 � - � ��` DpTE � �j— PEaMZZ� �i'.�S� OWNEB � C ^ PI.Dl�LR �� a�r�� NATURE OF W�, F �Scrc � NEt� RELAY BEP R INZERI08 aN 'sz�t �r!�- � # �TA R Bathtub Sum Pu Lavstc Ejector Toilee Water Softener p � DATE ZNSPECTZOI� DA� Rit. Sink Drinkin Fountain Sink(cther � /f�/ �' �9 g � W te heater Slo Sink �l� e se Tra Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin rJ�C� _ —�-�-�` l,� � �J � � n ths rever�e eide