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Home My WebLink About1991-Plumbing (water heater) � CITY OF OSHKOSH N° 2212g PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_ � � � �J � � PLAN NO. OWNER � vC/ �» ° z�-z-��-7-�.- DESIGNER USE/NATURE OF WORK � -,_. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Fdundation 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 -S� . —BT �WH _Disp _WSoft _CBasin �� —Lav _Sh _DW _DF _San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub —Eject _SS _Water Other l r FEES: Valuation $ 9'1 • U � Permit Fee Paid $ �� • � d Park Dedication $ ISSUED BY �'`, �' Date � �G � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ✓ V �� — AGENT/OWNER i DATE ADDRESS TELEPHONE# PLUMBING PERMIT APPLICATION ADDRE S S �� J� -�'� DATE � 3 i'� PE RMI T�� f,� � OWNE R � �' �,1--.c!�'j zz z�- P LUMB�R �c'-z'-=-Z-�-�'s�, , NATURE OF WORK � -� �-c.-! �`'l� '� 5��- �� NEW LAY REPAIR INTERIOR SAN SEW �k �k WATER Bathtub Catch Basin � S� Lavator Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain Shower Laundry Stand Pipe Floor Drain Laundr Tra Dis osal Wat. Softner Dishwasher D. Fountain / Water Heater Ejector inals Future outlets ** Violation notes on the reverse side �