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Home My WebLink About0037964-Plumbing (laterals) �� CITY OF OSHKOSH N°- 37964 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � - - ; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS _ �` 38 ��' �J �� V-�-�-� �� PLAN NO. � OWNER � __ � _ �/ �Z e � ��, : DESIGNER USE/NATURE OF WORK � � . S"`- ��// �� ` . � . . 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 C� —BT _WH Disp —WSoft _CBasin � . —Lav Sh DW _DF �San. Sewer ��U�C- —WC FDr SP —Ur —Storm Sewer Sink _LTub _Eject _SS �Water F Other FEES: Valuation $ -Z S��` -n � Permit Fee Paid $ � � ' � � Park Dedication $ /� �- ISSUED BY �! Date � � �� Final/O.P. In the perfC\,olma�ee°o��•�vcu I agree to perform all work pursuant to rules governing the described construction. �_-__i� �..__,__ -- _.._ _ --_ SIGNATURE �� '� �� . � AGENT/OWNER DATE ADDRESS ' . TELEPHONE;Y �. .� + �� 3�l�I /� PLDI�INC PEBMI? APPLICaTZON � �iDDRESS j SS U G�-�-�I��' DATE �/ •Z .i 3 T# 9 PE&� OGTNTEB � �' �D"�' PLUI�LB � NATORE OF W S v�-!r� � d � i RELAY R INTERI08 AN SEW � L # # : WATER Bathtub Sum Pu Lavato _Ej e�ctor Tcilet Water Softener p CZZD[Q DA1E INSPECIZON DA� Rit. Sink Drinkin Fountain Siak(other j � /'%J�� 7� 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 ** Violaticn nn _, on � n�r�� side