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0033724-Plumbing
1��� CITY OF OSHKOSH N°_ 33724 � PERMIT - APPLICATION AND RECORD TYPE: B�DG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT / ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � ' v v `Q`"� PLAN NO. OWNER � Ck7--- c DESIGNER USE/NATURE OF WORK �� � h BUILDING CON7RACTOR 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 { PLUMBING CONTRACTOR � BT yWH Disp WSoft —CBasin �Lav �Sh —DW DF —San. Sewer �WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS Water Other FEES: Valuation $ ��' � � Permit Fee Paid $ 2 g� � � Park Dedication $ ISSUED BY � Date � 6 3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. S�GNATURE � � ..s��6 -y� AGENT/OWNER DATE � ADDRESS 'Q� y � � �' �� ���J� � ( � TELEPHONE# � �� ��� PL ING PEB1�2 APPLIC.IZZON �nxgss 'o� Ea �� � � 5�- � � - - ��s�r� �3 7�j� owt�a L �- � � ' :iA�UAE OF WCRg .� � N p � • . NEi� REI.AY BEPAIR IN'�RI Q8 ` AN SEtJ � � �A R Bathtvb — Su Pu � Lavsta Ejector / ?oilet Water Softener pg��� �� ���'�IOA DA� �it• Sink Drinkin Fountain � f C� j Siak(cther . I / � �� W te e ter Slo Sink e se Tra Floor Drain Local Waste ' Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin � � Fl�- � 'r'r ide