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Home My WebLink About0039111-Plumbing (interior) �� N°_ 39111 /� CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �J SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 3 �C � � PLAN NO. OWNER -�J /' ,l' `�.a.-�� DESIGNER USE/NATURE OF WORK ---�� ' c "S�-v� , 1 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 ELfCTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT —WH _Disp —WSoft —CBasin G� —Lav —Sh _DW _DF (San. Sewer �� '� � —WC _FDr SP —Ur —Storm Sewer —Sink _LTub _Eject —SS �Water � �'— Other FEES: Valuation $ �� '�r'° � Permit Fee Paid $ 'Z a'�� `a' Park Dedication $ ISSUED BY �� Date� ``�7 �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� iE'�� 3�� f� AGENT/OWNER DATE ADDRESS�yo�`� Si.%itl/.�>� Lz/ w (��- S�S�Io ��/-.f8d-.7f17� TELEPHONE# , � �d� PLDi�II�G PE�T APPLICa ON . aDDagss 3� � � - Da�f: S� �a 9 � pgg�T# 391�/ , OWNER PI.D!ffiL'8 C'� IsATUBE OF WOBS --� �' ' �� pEt+T RELAY BEPAIR INIEBIOR AN 4`PU� � # �TATER Bathtub Sum Pu Lavato Ejector Toilet Water Softener O1Q DATE INSpECTI DA� Rit. Sink Drinkin Fountain �/� � Si.ak(other . �� J�%� �� W te heater Slo Sink �� G ease Tra Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin � 3ao�- � ** Violation notea on the reverae side