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Home My WebLink About0017654-Plumbing (kitchen remodel & water heater) � CITY OF OSHKOSH N° 17654 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�J SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� CJ T7�� PLAN NO. OWNER �- !Y Gf/1/l✓ DESIGNER USE/NATURE OF WORK f �� ( 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 v��f��I.0!' BT �WH —Disp WSoft —CBasin : Lav _Sh DW _DF —San. Sewer —WC FDr —SP Ur Storm Sewer �Sink LTub —Eject SS —Water Other !ra � FEES: Valuation $__f�) Permit Fee Paid $�6 Park Dedication $ ISSUED BY��T�s"U Date l '7'��d Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. °�--�_9 � SIGNATURE � AGENT/OWNER DATE ADDRESS TELEPHONE# PLUMBING PERMIT APPLICATION ApDRESS � �� DATE �/�/�� PERMIT �k ( �� OWNER d� PLUMBER �G='�'��'��iZ.s NATURE OF WORK C= , - NEW RELAY REPAIR INTERIOR SAN SEW �6 �� WATER athtub Catch Basin STORM SEW avato Grease Tra Toilet Sump Pum INSPECTION DATE INSPECTION DATE " Kit Sink Local Waste �� ,�/`'/ � t��%f l�/-' f1��.�% Sink(other) Site Drain ' -�jD , C Shower Laundry Stan pipe ; ��'�''�� "� �`�"'- Floor Drain Laundry Tray �`S � �``�"�` � isposal Wat. So tner ��K�w'+ �z,�.��c�� Dishwasher D. Fountain `'"i� w='�ti(c"� �OY •"'tC'l'` Wa.ter Heater Ejector Urinals Future outlets ** Violation notes on reverse side