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Home My WebLink About0039086-Plumbing (tub, sink & faucets) �� N° 39086 � CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� • ,VL�//v YDYI� PLAN NO. OWNER T G�� LC �/A�'L�/L!/Y!O DESIGNER USE/NATURE OF WORK ''�-�C- "V" 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 $ Permit Fee Paid $ ,�•�d Park Dedication $ ISSUED BY Date��D� QT Final/O.P. r� ��7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE yol 9• j� AGENT/OWNER DATE ADDRESS TELEPHONE S , - �'io PL ZI�G PERI"�? APPLZC.lTION aDDRESS �/ 3 �, /�'.�,�; .� DAZE � C 9 - z��(� PERI�T# 0'WPTEB �,�' ��. �' ` PLD� -��'�-�-�.--,�� S� � NATURE OF WOR& -? —:- � NEi� RELAY BEPAIR INIERIOR SAN SEW � � # �JATER Bathtub Sum Pu I Lavato ! Ej ector Toilet Water Softener SPEC?ION DA1E INSpgCI'IpIQ Dp1g R�t. Siak Drinkin Fountain ,1 � �t��,�� Siak(other . �' ,�`" W te heater Slo Sink Grease Tra � �)��/�� Floor Drain Loca1 Waste � Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin �� Q q ��P�L L �`� ��'`! '_ �1��CC./�.-��-"'N;.r .>��_. *'�' `jtY�l/v�' `_ v� / Vie at��.+ not � on the reverse �ide ? ..�� ti"'. '-�✓��-�i-c.�� - - _... , . . .R.. :, .. �2 /��G'�`�s�'-- ��