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0006540-Plumbing (exterior)
� CITY OF OSHKOSH N° 06540 � � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - ADDRESS ��f �11/G��'�C�" 1�� PLAN NO. OWNER ..�d� f�7r�� � �/� ;��C'l/"i 1/1 t f���l�dY i DESIGNER USE/NATURE OF WORK S�'�c-tJ�� r.�t.�(�i�;�4,, ��.r �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const Occupancy Permit HEATING CONTRACTOR Nleat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S � ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PWMBING C�NTRACTOR ��' „���_7�� BT _WH —Disp WSoft CBasin Lav —Sh —DW DF �San. Sewer 7 4��C —WC —FDr —SP —Ur —Storm Sewer —Sink LTub Eject SS �Water ��� �'('i`-- Other vL _"a�, j FEES: Valuation $ d- ermit Fee Paid $ � Park Dedication $ ; ISSUED BY �� Date/-Z, �f ,� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. l � SIGNATURE �` ��"� O 3 v� S� ,07 `����� AGENT/ NEF DATE ADDRESS �� TELEPHONE# -�LUMBI G PERMIT APPLICATION ADDRESS �� ` � �' �'�`��. �� ' `�� DATE �� �� � PE�MIT �� ��5 � , OWNER PLUMBER - NATURE OF WORK —_ ��-c�C. �( > NEW RELAY REPAIR INTERIOR SAN SE�3 �6 �k WATER athtub Gatch Basin STORM SEW Lavator Grease Tra Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste l�v�`,�y yti�� �� �� Sink(other) Site Drain Shower Laundry Stan pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Wa.ter Heater Ejector Urinals Future outlets ** Violation notes on reverse side