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Home My WebLink About0004671-Plumbing (interior) /� CITY OF OSHKOSH N°_ 04671 `' PERMIT - APPLICATION AND RECORD t. TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS --��(1 �'' ��?/�-j�6��'' PLAN NO. OWNER �-�/G / DESIGNER USE/NATURE OF WORK �/tO�c'Gs./ :_7 i'a�j�� r��i�+ �./ ��2�i „� � L/vr�r 6 l-3 r� 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 2-Lav �Sh �DW DF _San. Sewer s�WC �FDr �SP Ur _Storm Sewer �Sink �Ll� _Eject SS Water Other FEES: Valuation $ � � Permit Fee Paid $ 3� v� Park Dedication $ ISSUEDBY Date� "- ?-�. --�� Final/O.P. �' �3/•-�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �GX� G✓ L%��I�L� �� L 2 � AGENT/OWNER DATE ADDRESS TELEPHONE# � / ��`� PER�IIT 4� � �C�i ADDRESS .�Z,j �� z� �ti�:� t�'. . OWNER 1 `: ,, �� + NATliREOFWORK L'�C� �� f ��t PLUMBER �d�,'j,y �✓�- - OUTSIDE I:JTERIOR �� New Rela Repair �6 �� - _ S n Sew Bathtub Catc B. � Glater � Lavatory Grease T. � St. Sew � Toilet Sumo P. **Inspection Date : Sink Kit. Local Waste Sink (other) Site Drain �� d ��` ��/L`� c�� Shower Laundry �` f� � � � � Floor drain Laun ry tray � � �' J'�c" ��,- .� � Disposal W. Softner .� 1 Dishwasher D. Fountain **Violation notes on reverse side � � � ; ; 3. C�/(D/c�t �� r) �c��,�iu�f �e�;`" l , �67 S`�c�� 01�- � ,��:"7_ � � � � � � � � � i a i s i � � a � • i i i i r v i 4 i h 1 � € i � � t � $ � � 3 ! ; & €