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0007558-Plumbing (addn to 7558)
� CITY OF OSHKOSH N° 07558 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS .�� � �//sdl ��iL�� PLAN NO. OWNER ��� S ?�-- DESIGNER USE/NATURE OF WORK �- . BUILDING CON�'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit ! HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELEGlTRIC CONTRACTOR E�ectric 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 $ � —'—'� Park Dedication ISSUED BY� ��-� Date�( C���'� Final/O.P. � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � w ct��oi.� � C� ��0 y`-J "(p� AGENT/OWNER DATE ADDRESS TELEPHONE# PLUt�B NG PERMIT APPLICATI N ADDRESS ' � DATE C� a PERMIT�� ���C� OWNE R � �I,U1�PR NATURE OF WORK `��_� vji �/,,,��_/d ,�-2�u�e� � �'(1 �� NEW RELAY REPAIR INTERIOR SAN SEW �k �� WATER Bathtub Catch Basin ORM SEW Lavator Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain C��� ,� /1--� .��Qti�'_u Shower Laundry Stand Pipe f� ��� t Floor Drain Laundr Tra �� _ ?��✓�l v�/ ��S /�63G� / � � Dis osal Wat. Softner a / Dishwasher D. Fountain n �— � �S�,���' Water Heater E jector 0 rinals Future outlets (� � 3�iy �* Violation notes on the reverse side