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0007456-Plumbing (exterior)
� CITY OF OSHKOSH N° 07456 � `' PERMIT - APPLICATION AND RECORD � TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG/� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS �� �1P� ///t�i ��?SC��/_ PLAN NO. �/ �/ �J OWNER J4'�t !'� /✓ DESIGNER USE/NATURE OF WORK___ _ ��-�t�� °�"� l 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 WSo —CBasin —Lav Sh DW DF �San. Sewer Z L���C —WC —FDr _SP Ur —Storm Sewer —Sink _LTub —Eject —SS �Water � //��C� Other � � �� FEES: Valuation $ ���� Permit Fee Paid $ Park Dedication $ ISSUED BY � �� — / Date Final/O.P. in the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. / � � SIGNATURE � ���—� � � AGENT/OWNER DATE � ��� ADDRESS TELEPHONE# -. ADDRESS .2,�� �� �d1��'�� PER*iIT �� � � � r J NATliREOFWORK J'�� � OWNER � L� �— / PLUMBER �vi� �e ��'-'' �,7 OUTSIDE ��G�J INTERIOR �� New Relay Repair 4� �� n Sew y d Bathtub Catc B . Water Lavatory Grease T. St. Sew � Toilet Sump P. **Inspection Date : Sink Kit. Local Waste Sink (other) Site Drain Shower Laundry Floor drain aun ry tray Disposal W. S of tner DisE�washer D. Fountain **Violation notes on reverse side