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Home My WebLink About0037095-Plumbing (remodel) �� /', CITY OF OSHKOSH N°- 37095 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS �� • PLAN NO. OWNER �� ` DESIGNER USE/NATURE OF WORK 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 —BT �WH Disp —WSoft —CBasin � � Lav �Sh _DW DF —San. Sewer �WC _FDr SP —Ur —Storm Sewer �Sink �6�b/�1,� —Eject SS Water Other FEES: Valuation $ -3�� -� d Permit Fee Paid $ � � d � Park Dedication $ ISSUED BY_ � Date � �� 3 Final/O.P. ��a��f� In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. I ! SIGNATURE ��- ` _I( ��"�� A E /OW ER DATE ADDRESS TELEPHONE# • �/O � �LDi�INC PEBMI? ABPLIC�TION anaagss �6 �,� � �7�i � /'— A1 �— '` L? �a�z� �7°�S� OWNg.� - �'�"��/� ��r�/1�✓�l./,%S PT.�� ' C� ��"'r ' NATQRE OF GTOR� lI l't''r1�f�C�'I��1 F�t� � NEii REI.AY BEPAIR INTEHI08 `SAN SEW � � �iATER Bathtub Sum Pu � Lavato Ej ector Toilet Water Softener P �0� �� N�PEC1Z01� DA� R=t• glak Drinkin Fountain Si.ak(other � I � � / � % W te heater �lo Sink � / ease Tra . Floor Drain Local Waste � 1 3 / Q'!� ' Laundry Tu Site Drain � � � Dis osal Laundr Stand i e , Dishwash r Catch Bas' -� � �� l �/z �� / �� , ;, � �� -n. _, � . *'* Vialatien nnr. an ��. npene lide