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Home My WebLink About0031232-Plumbing (laterals) € /� CITY OF OSHKOSH N° 31232 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT " - - - - - - - - - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - k ADDRESS ��'� PLAN NO. OWNER �-� �� DESIGNER USE/NATURE OF WORK �`� -� �- � ` � F � . / o BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit ? � 4 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 PWMBING CONTRACTOR v ` � —BT —WH —Disp —WSoft _CBasin � —Lav —Sh _DW —DF �San. Sewer �' �J� ' —WC —FDr _SP —Ur �Storm Sewer �•� �L� �- —Sink _LTub —Eject —SS �Water >`" �-�— . Other z 3 s � FEES: Valuation $ ��' � � 'O � Permit Fee Paid $ 3 � `� � Park Dedication $ j ISSUED BY � Date � �� Final/O.P. �F In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � SIGNATURE r��,�� AGENT/OWNER DATE ADDRESS TELEPHONE# � � '� PL�ING PE�? APPLICaTION ?�DDRESS��`'� ''� � DA11r �c, ._ y _ 9 �' PERI�?� � / -�-3 � OWNEB � �=, 8-�-�_��' PLIII�IDEB � YATUEtE OF GlORR �..�-� ic.�'- r�-� - .S� -� n � � - �. NET, RELAY REPAIR INZERIOR � . `�'� �: � SAN SELT � ,f�'� �" � � ' � �TATE'R Bathtub Sum Pu ST. ��- �'� Lavatc Ej ector Tailet Water Softener SPECTION DATE INSpECTIpI� DpTE Rit. Sink Drinkin Fountain .r.� ' � i c.0 .�/1 - i�-�-�` ��- S iak(o ther • � �� W te heater Slo Sink �� 'O � � Z � •2 �� C ��t�z�""-' G ease Tra � 2 � ��f�-n�1�jL� Floor Drain Local Waste � Laundry Tu Site Drain � � b `� � � Dis osal Laundr Stand i e �� G; _. � � Dish as r Catch Basir� � y , ,,� _ � � - „ ,� - i5 � l�✓'L�Z��/�� ,�.- � S •` , � � .�'�..�-�2�J a.�-� ** Viclation notes on the reverse �ide