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Home My WebLink About0039398-Plumbing (laterals) �� CITY OF OSHKOSH N° 39398 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �] SIGN ❑ ZONING FLOOD PLAIN HEIGHT i - - - - - - - - - - - - - - - - - - - - - - - - - -� � ,�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '' ADDRESS � � �-� � �� ' C.��(' PLAN NO. OWNER C'v` ��c /�r�� DESIGNER USE/NATURE OF RK F �� " � 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 �""��''"" 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 $ �d b d •� �' Permit Fee Paid $ Z� � � � Park Dedication $ ISSUED BY G�% Date �S�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE '` S'�2 �� AGENT/OWNER ^ DATE ADDRESS 35sy �� `� ,�j( �jlJ�' �.�1 h�s� a3s-G�s� TELEPHONE# , • �PL�III�6 PEB�II? APPLIC.�TION �. anaagss 3 3� ` D� �i-Z- �a�z� -3 i'3i� oWNEB o�-. � �' tic.� Eg ��— �� NATQRE OF WOR� S�9"- NEi+T REZAY BEP R INZEBI08 AN SET�T � # �A�� Ba�� Sum Pu Lavito Ej ector � Tailet Water Softener p � DATE INSPEC'1ZON DA1E Rit. Sink Drinkin Fountain Si.ak other • S /� � �l � �� W te he ter Slo Sink �� ease Tra � Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Bas'n � ` � �~ / �rir i.e='�d�' - " on tt�s rever�e �ide