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Home My WebLink About0026236-Plumbing n CITY OF OSHKOSH N° 26236 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - -r-�i - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS g � � � ' `/ /7Z�'� PLAN NO. OWNER � • DESIGNER USE/NATURE OF WORK � BUILDING CONT'RACTOR ' 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 t. �BT �WH _Disp _WSoft _CBasin ?Ll�v _Sh _DW _DF _San. Sewer �C �FDr _SP _Ur _Storm Sewer ySink _LTub Eject _SS _Water Other � `/�C'G�1 �i�-a-,��' �y FEES: Valuation $ .3 6 0 �� G' Permit Fee Paid $ r �• � � � Park Dedication $ ISSUED BY_ � �� Date ��—� �— �� Final/O.P. _S--/-/� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �/��C_ ��,��—�j AGENT/OWNER DATE ADDRESS TELEPHONE# � PLIJMBING PERMIT APPLICATION ADDRESS � / • Gc�• 7 �� DATE � ^a � - '/ PERMIT�� 62.�;� OWNER � PLUI��?? ,�� , NATURE OF WORK •p - NEiJ RELAY REPAIR INTERIOR SAN SEW � � WATER � Bathtub // Catch Basin � Lavato / Grease Trap Toilet I Sum Pu INSPECTION DATE INSPECTION DATE Kit. Sink / Local Waste Sink(other) Site Drain J��_ � �' �� Shower Laundry Stand Pipe �� /,t Floor Drain Laund Tra ,� ( �ru..�-��) �� '� Dis asal Wat. Softner Dishwasher D. Fountain � / �� S.// Water Heater Ejector � � ' al Future outlets � ��° ** V'olation notes on the reverse side