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0030523-Plumbing (city re-hab)
/� CITY OF OSHKOSH N°_ 30523 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �� ADDRESS �� � PLAN NO. OWNER �% ` ^ DESIGNER USE/NATURE OF WORK � ` �� ` BUILDING CONI�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 t . ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT _WH —Disp —WSoft —CBasin T�" —Lav _Sh _DW DF San. Sewer WC —FDr —SP —Ur —Storm Sewer Sink �LTu���G'� �Ej�ct _ SS —Water � // Other � �+'`d'� FEES: Valuation $ SG � • � � Permit Fee Paid $ /o • c o park Dedication $ ISSUED BY 1� Date 9 �� -� Z Fina��O.P. �a - y -9a In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR Z � AGENT/OWNER ATE ADDRESS__L �L I�.�, �- IL�C.. �•� ' �h7�0 ZvZ7 �jS 3 �OC� TELEPHONE# pL�ING pE�2 APPLIC.'�TION �p Gt/ r� D� �"� �' — 9 Z- FERI�T# 3 c�.�"� 3 �iDDRESS � C �� OWNEB PLIII'IDL'8 NATURE OF GTOR� � NEii Y BEPAI INILRI08 � � �r # � R Bathtub Sum Pu Lavatc Ejector ti Toilet Water Softener ON DpTg INSPECIIpN Dp1g Rit. 3iak Drinkin Fountain Si.nk(o ther � /� �1'� `� W te heater Slo Sink /�� ease Tra Floor Drain Local Waste / / /� Laundry Tu Site Drain � � Dis osal Laundr Stand i e Dishwasher Catch Basin 6�'�� qZ ,) sG� ..��� � �.� G-�- -�.�-��-�. W � ** Violaticn notee on the reverae eide