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Home My WebLink About0027380-Plumbing (interior) n CITY OF OSHKOSH N° 27380 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ��,7 O G� . J2 O T 64 ADDRESS PLAN NO. OWNER � � � ? DESIGNER , ; i � ' / USE/NATURE OF WORK �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits ± � PLUMBING CONTRACTOR � �� /r`�� BT � WH —Disp WS —CBasin �Lav —Sh �DW —DF San. Sewer �WC �FDr �SP —Ur —Storm Sewer L Sink L ub —E' ct SS —Water Other �_ 6�c� , _ G� d FEES: Valuation $a ��6 �� Permit Fee Paid $ '3� ' Park Dedication $ ISSUED BY C`' Date � '��g �9� Final/O.P. `� - �°� �y a In the performance t i work I agr e all work pursuant to rules governing the described construction. . SIGNATURE �'-�� Z--- : AGENT/OWNER ,r DATE ADDRESS [�/G'� O��Y I�'�, �i�i�.� �/ �2 3� �� TELEPHONE k PLIIMBING PERMIT APPLICATION ADDRESS -';�?�� - � '�� = - �<_- DATE _ , .. ; ;- PERMIT� � � �gC � ,: ; �� , . _ � ,_,% .��:,._<_ . - OWNER �; PLUrIDER _ � �- � �r;; r<r_ � ! . NATURE OF WORK /' r` �.�, _ � �_.-{'� . � . , _ + J. NE[J RELAY REPAIR INTE#�IOR SAN SEW � �� WATER ' Bathtub Catch Basin Lavato l� Grease TraD � Toilet j' ! � g� p � INSPECTION DATE INSPECTION DATE � Rit. Sink / Local Waste 7 � �✓ Sink(other) Site Drain �� J` �' j ,'- ; Shower / Laundry Stand Pipe , Floor Drain Laund Tra � (`�jr�, 3 � � � Dis osal Wat. Softner Dishwasher D. Fountain � ��/�' � � Water Heater Ejector Future outlets , _ � F f � �� cuea�..e,,��... . ** V'olation note on the reverse side �V�� y�