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Home My WebLink About0039149-Plumbing (add 2nd floor bathroom) �G N° 39149 n CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / �� PLAN NO. OWNER -� � '� DESIGNER USE/NATURE OF WORK ��'n � 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 �"' �Lav �Sh _DW —DF —San. Sewer �WC _FDr —SP _Ur —Storm Sewer —Sink _LTub _Eject —SS _Water Other ' FEES: Valuation $ �`g�'��c' � Permit Fee Paid $ f� � d 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 construction. : 1 l � ,� SIGNATURE , `t J �� .I�- - C•=t-�� :I�Jc. �� c AGENT/OWNER TE - ADDRESS t3�• �i•�;�F�.J 5= c � �c�._ yp. c' r�'z�' I►cv t G �=� ��re,c '�'3 S=y?�l� TELEPHONE# /7 � PLD�ZI�G PERL�T AF'PLI ON �- ��' ;�a�ss li'/s' ��z-.�-� � �� = %'� �a�z� ��'� � � OWNSB � �� . ��-t� f�K. PL C'--�� NATtIRE OF GIdRF � -'� �_ � � � NET1 RE7.AY REP R INTERIOR AN SEW � # �TATER Bathtub Sum Pu � �datp Ej ector Toilet Water Softener pgC'iZpN DAZg Ipgpg pg Dp1E Rit. Sialc Drinkin Fountain � S ialc(o ther . � � f��3 �'-��- � �'" W te heater Slo Sink G ease Tra Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin �� ** v r ide � . i