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Home My WebLink About0034022-Plumbing (relay water service) f�a/ CITY OF OSHKOSH H° 34�22 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �] SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �'.�3 �a� ADDRESS PLAN NO. OWNER �G'''� � DESIGNER USE/NATURE OF WORK w` � . 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 i Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT —WH Disp —WSoft CBasin _Lav Sh —DW DF —San. Sewer —WC —FDr SP —Ur Storm Sewer —Sink —LTub Eject —SS —Water Other C�zc.�y-Cx i`— FEES: Valuation $ � d d`� � a d Permit Fee Paid $ � �� `� d Park Dedication $ ISSUED BY � Date °Z � � FinaUO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � ' � S��– 9� SIGNATURE � , � AGENT/OWNER DATE ADDRESS TELEPHONE N , �o/ PLDi�INC PERI�? APPLZC.ITION ADDRESS % � 7 � DpTE S .�a -� PERPa?# �S�D-z �.— r 0'WNEB pL�yrg z NATURE OF W� � _ ; � �E BEPAIR INIERI08 SAN SEW �, # +�AlER / Bathtub Sum Pu � Lavato Ej ector Toilet Water Softener � �� NSPE CTI01� DA�: Ri t. S iak Drinkin Fountain vU^� ^ Siak(other . �l 0 W te heater Slo Sink \ G e se Tra � —�� Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e - Dishwasher Catch Basin ** Vinlat;,,� ....«-- —__-= � �� sa ttie �verae �ide