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Home My WebLink About0022024-Plumbing (water service repair) � CITY OF OSHKOSH N° 22024 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PLANNO. ADDRESS �� -= �� /T�-'� Q ,� �'' OWNER 1�-rL��,.*-e..=-� � DESIGNER 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 �` 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 � FEES: Valuation $ �5� •� � Permit Fee Paid $ �" ^ � � Park Dedication $ : ISSUED BY �--J �z�X�-� � Date � � � S� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /�� ,�� y AGENT/OWNER DATE ADDRESS TELEPHONE# : LUMBING PERMIT APPLICATION ADDRESS S/0 �. /(�..Qcv DATE �� a/J�'/ PERMIT�� °`"zC''L �C OWNER �°�`�-�-¢- —c �' PLU1��R �� NATURE OF WORK !.C/ ' /1-e r� '� ,,�2�,�c-� NEW RELAY REPAIR INTERIOR SAN SEW �k �k WATER Bathtub Catch Basin i �M S� Lavator Grease Trap Toilet Sum Pum INSPE�1'YON DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain �� --��` � Shower Laundry Stand Pipe ►" Floor Drain Laundr Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector inals Future outlets ** Violation notes on the reverse side �