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Home My WebLink About0042865-Plumbing (install city sewer & water) ��- S�/�° ' No - 42865 � CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �J SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS � ��7 - � �S^i� - �- - - - - - - - - - - C�-� - - - - - -PLANNO. . - - - - - - - - - OWNER `� L C ��L-^— DESIGNER USE/NATURE OF WORK �'" 4 �� BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR kleat [] 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 L��"�' _BT _.WH _Disp —WSoft —CBasin C�/ _Lav —Sh _DW —DF �L San. Sewer � �� _WC �FDr —SP —Ur —Storm Sewer —Sink —LTub �Eject �SS �Water ( `-"``- Other � r� FEES: Valuation $ ��'- C` � Permit Fee Paid $ � � " � � Park Dedication $ ISSUED BY � Date —'��— Final/O.P. / � In the performance this wor I agr all work pursuant to rules goveming the described construction. ` SIGNATURE " ' AGENT/OWNER DATE ADDRESS TEIEPHONE�M � , �C� / Q PL � F�BMI? APPLZCATION � � A.DDBESS j��' 3 s� �I C�. ' DpT'E 3 � S� 5'S� FL�MI?# �02��-� ' OWN88 � � PLDl48L'8 D NATflRE OF WORF s��i'� ' NEFl RELAY BEP INIERIOS AN SEW 1'U � � # �JATEx Bathtub Su Pu Lavsto Ejector Toilet Water Softener DATE INSPEGTION DA1E Rit. Siak Drinkin Fountain Si.ak(other . ,S/� 3/a y�/��L W te heater Slo Sink ease Tra u � -3� `` Floor Drain Local Waste '� j �� Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin � � ' ** Violation notes on the reverae �ide