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Home My WebLink About0035751-Plumbing (relay sanitary sewer) fG�/ N°_ 35751 � _ CITY OF OSHKOSH PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �] SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - ��- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� '" V�� PLAN NO. OWNER 6'"�� DESIGNER USE/NATURE OF WORK , ��P°'`-' 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 � P �- —BT _WH _Disp —WSoft —CBasin � —Lav _Sh _DW _DF �San. Sewer t" f! �' � —WC —FDr _SP —Ur —Storm Sewer —Sink _LTub —Eject —SS —Water Other / FEES: Valuation $ ��d r n a Permit Fee Paid $ ��, � � Park Dedication $ ISSUED BY_ � Date � Final/O.P. �✓°Z-3 � 93 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ""—"`f /S�+" T '� �'' AGENT/OWNER DATE ADDRESS TELEPHONE# � �- �� PLD�IDIP�G PEBI�II? APPLIC.11'ION anDagss �� 7 �� 5'3 �a�?� ��75% OWNEB PI.�� Z NATIJRE OF VCR� '�� NE[,T Y BEPAIR INTEBI08 � s� f�P�� # WATER Bathtub Sum Pu Lavato E'ector , Toilet Water Softener �N DA1E INSPECTIOl� DA� �i.t. Sink Drinkin Fountain � { .�o�•-�-�'"-S' 7/,Z 3 S iak(o etier • W te he ter Slo Sink G ease Tra � '��/�� , �S� Floor Drain Local Waste [ Laundry Tu Site Drain Dis osal Laundr Stand i e - Dishwasher Catch Basin ** Violatien nnt�� on ths revera side