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Home My WebLink About0037960-Plumbing (laterals) S�/ CITY OF OSHKOSH N°- 37960 � : PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - -5� - �'2- - - - -��--� � -�.�.� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� -�C-� PLAN NO. OWNER ( C �-��-' DESIGNER ' � r USE/NATURE OF WORK �� S'� ��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 ELECTRIC CONTRACTOR , Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ��'��'�-�'W--� —BT _WH Disp —WSoft —CBasin v`� —Lav Sh _DW DF �San. Sewer 7` � J � —WC —FDr _SP —Ur —Storm Sewer Sink LTub —Eject SS �Water l � Other / FEES: Valuation $ �s�� '�� Permit Fee Paid $ •�� - � U Park Dedication $ ISSUED BY � Date � 3 � Final/O.P. In the performance of this work I agree to perform all_�ork pursuant to rules goveming the described const�uction. ' �._ _ _�� / '�-�� 1 �-- _ _ --------, SIGNATURE � AGENT/OWNER DATE � ' ADDRESS � � TELEPHONE# ��--�� . PLII�IDIP�GG PEBMI? APPLICaZZON anaa�ss 38"�^`' - s�- ��ti�t/..�:��" � �i j z f j �a�z# � �7'� b OR�TNEB �- � �� PL�LB --� NATURE OF W � ' . S�'-� ' � NEi1 RE7.AY AIIt INIEAI08 � s� ��'�� # WATER � Bathttsb Sum Pu Lavato Ejector ' Toilet Water Softener P CTION DA1E INSPEC1Z01� DATE Kit. Sinlc Drinkin Fountain Siak(other . ��a � W te he ter Slo Sink ��A�� ' ease Tra �"- ' Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ** Violation note� on th reverae �ide