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Home My WebLink About0041741-Plumbing (exterior) ��30 CITY OF OSHKOSH N°-^ 41741 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS 3�� ' ��' PLAN NO. � \� , \ r OWNER -�� `�J DESIGNER / r USE/NATURE OF WORK ' / -�`� � BUILDING CON1'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit e 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 _ isp —WSoft —CBasin �'��l� ' _Lav _Sh _DW —DF � !� San. Sewer �� _WC _FDr _SP —Ur —Storm Sewer —Sink —LTub —Eject —SS �Water / Other FEES: Valuation $�S��'- � � Permit Fee Paid $ �t3 ` � � Park Dedication $ ISSUED BY ��i�� Date °� S Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE r� �� _�\ AGENT/OWNER DATE ADDRESS ! O �G�C I 3 � 1�J�4.�� 3Ca /��7' U "� TELEPHONE# �.m�zpc ��r ��ca o� �iDDRESS -��S /� DATL � °z� �� PER�?# �7 SC OWNEB P ! NATQQE OF W� .�-� ' � ^ � NEF1 RELAY BEPAIR INTERI08 ssr� � ✓�= � � # �TA'TER Ba�� Sum Pu Lavato Ej ector , Toilet Water Softener OIQ DA1E INSPECIZON DA� Rit. Sialc Drinkin Fountain � Siak(other • � �//G �� W te heater Slo Sink , G e se Tra �� , Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ** Violation notee on tti rever�e �ide