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Home My WebLink About0015971-Plumbing (interior) � CITY OF OSHKOSH N°_ 15971 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � PLAN NO. OWNER ��Z�L¢� DESIGNER USE/NATURE OF WORK `� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit a , 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 PI 11MRING C'(�NTRAC'TOR �� /' /� � --�-�- -- -- - - - - --s• �BT � WH �Disp —WSoft —CBasin � Lav �Sh �DW DF San. Sewer �C � FDr �SP —Ur —Storm Sewer � Sink �LTtxH. —Eject SS Water Other I ��Cj�/ 2��i °� r�� c�3�-- FEES: Valuation $.,.,.)�vZ? Permit Fee Paid $ Park Dedication $ ISSUED BY�1` /-�-��d� Date �� - '�� Final/O.P. ��a7 '�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ` � �� /D r� r V � AGENT/OWNER DATE ADDRESS TELEPHONE# r PLUI�ING PERMIT APPLICATION ADDRESS °'�7 �� I/l !� !Gt/t�t d �v DATE �� — �3 � � PERMIT �� 5�7� DWNER �P� PLiT1�ER �� < ( NATURE OF WORK V V .��-' S � - c NEW RELAY REPAIR INTERIOR SAN SEW �� WATER athtub Eatch Basin STORM SEW � avato Grease Tra Toilet Sump Pump NSPECTION DATE INSPECTION DATE Kit Sink Local Waste Sink(other) Site Drain �� /��/,j�� . Shower Laundry Stan pipe Floor Drain Laundry Tray Disposal Wat. So tner Dishwasher D. Fountain � �/3 j Wa.�er Heater Ejector' �? �� c''��.- �� Urinals Future outlets � ��-�f �1� I C�� C�'i'" ** Violation notes on reverse side