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Home My WebLink About0025844-Plumbing (relay water service) � CITY OF OSHKOSH N°_ 25844 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - j/D .2 L�J , 7 T� ADDRESS PLAN NO. OWNER � � r DESIGNER USE/NATURE OF WORK -- �'��-��-L-` �'"' � 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 i, PLUMBING CONTRACTOR —BT _WH Disp WSoft _CBasin � _Lav —Sh DW DF _San. Sewer —WC FDr _SP _Ur —Storm Sewer —Sink LTub —Eject —SS �Water l / � Other � FEES: Valuation $ �-s� °• � � Permit Fee Paid $ �� ' � d Park Dedication $ ISSUED BY � ^ Date � —�� g� Final/O.P. �' ?��'� _._.-----�.._. In the perf f is wor � e to perform all work pursuant to rules gov g the described construction. ' � � � SIGNATURE / GENT/OWNE � DA � ADDRESS � � � � ��` ��G� TELEPHONE# PLUI�ING PERMIT APPLICATION ADDRESS � ��a �' � r�� DATE �v --�6 — �/ P RMIT�� °� S`& �f OWNER �T � e PLLTrIDER NATURE OF WORK K �� _� ` � T f NEW LAY REPAIR INTERIOR SAN SEW � �� WATER Bathtub Catch Basin Lavato Grease Trap Toilet Sum Pu INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste /�� /S- �` 6 Sink(other) Site Draia 0� Shower Laundry Stand Pipe � � S�� p Floor Drain Laund Tra Dis osal Wat. Softner .� q Dishwasher D. Fountain �. r � i 3 J/�- Water Heater Ejector ' a s Future outlets ** V' lation notes on the reverse side