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Home My WebLink About0002596-Plumbing (relay sanitary sewer) � CITY OF OSHKOSH No _ 02596 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS—��G � ,��y-r�// ' PLAN NO. OWNER_- ��c-' DESIGNER USE/NATURE OF WORK ��'/C�� -�-. 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 C�NTRACTOR� t? 7-L� � —BT —WH —Disp —WSoft —CBasin —Lav —Sh —DW —DF —San. Sewer ��` �l.i C_ —WC —FDr _SP —Ur Storm Sewer —Sink _LTub —Eject —SS —Water Other G�„"� FEES: Valuation $ � Permit Fee Paid $ �a �"'- Park Dedication $ ISSUED BY Date��/�'�`/�7 Final/O.P. �' v�°'� 7 tf In the performance of this work I agree to perform all work pursuant to rules governing the described construction. , . � � / r � r �- �' SIGNATURE �0 t/ '� i' V!�J � �D� � � AGENT/OWNER DATE � ADDRESS TELEPHONE S PLiJI�ING PERMIT APPLICATION �2 _�� PLUMBER r� li(� �� DATE �� , NAME OF OWNER � ADDRESS_ . ��6 I /��-y;,,�� -� o /Crl/t�Ld L.t��O/{9�. / � �' S�✓1.`. S-�c�/, /.2 �t/ �� NE�,1 SAN. WATER STORM RELAY SAN. WATER STORM Main to Curb Main to Curb Curb to Bld . Curb to Bld . Elect. Pum s Re air Se tic Tanks NEW REP. NEW REP. NEW REP. Bath Tub Gar. Dis osal Catch Basin Wash Basin Dishwasher Conductors Water Closet Laundramats Grease C.B. Sink Water Softener g� p Water Heater San. Bubblers Bar Wastes Shower Bath Urinals Ran e Boiler Floor Draia Dental Cus idors Future Outlets