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Home My WebLink About0027197-Plumbing (laterals) /� CITY OF OSHKOSH N° 27197 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - b1 ADDRESS � �� '`'l � T � r �� PLAN NO. OWNER �G`'��-�`�f / 1� ' DESIGNER �� S ; � _ � USE/NATURE OF WORK 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 Fi�ures Switches Receptacles Circuits � G 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 FEES: Valuation $ �5�� Permit Fee Paid $ � 6• � � Park Dedication $ ISSUED BY�"�-�' Date � J� —S� Final/O.P. `�"�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. c" SIGNATURE �'---`- � �- `G � / � � AGENT/O DATE ADDRESS TELEPHONE# PLIJI�IDING PERMIT APPLICATZON ADDRESS ��8� Ct,' , �C'��I��'z-.-e DpTE �� _ i/— p PERMIT# � ��J 7 0'WNER ''�` /� _`` PL ER �� 0� NATt1RE OF WORR �i�.�-� S/='� � O .-4�� NEi� RELAY REPAIR INTERIOR < �G� SAN SEW �P� � WATER � � Bathtub Catch Basin Lavato Grease Traa Toilet g p INSPECZZ ON DATE INSPECTION DA1E Rit. Sink Loc al Was t e Siak(other S � c�� _ �/ Site Drain Shower Laundrq Staad Pipe ,. loor Drain Lauad Tr , Dis csal Wat. Softner Dishwasher D. Fountain Water Heater E�ector Future outlets ** V' a 'o ot n the reverse side