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Home My WebLink About0022386-Plumbing (sewer repair) /� CITY OF OSHKOSH N° 22386 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��,/-.��>�� , PLAN NO. � � OWNER s � � �- DESIGNER USE/NATURE OF WORK � -�'-- BUILDING CONT'RACTOR 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 qisp WSoft _ Basin �/1 �' 1 L` -- —Lav —Sh —DW —DF �San. Sewer T �� C ��u�- . —WC FDr SP Ur —Storm Sewer —Sink _LTub —Eject —SS —Water Other FEES: Valuation $ ��• � � _ Permit Fee Paid $ �� ' � � Park Dedication $ ISSUED BY �.E�C�--�� Date � � � 1 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � / ' • �; SIGNATURE AGENT/ NER DATE ADDRESS TELEPHONE# �� PLUI�ING PERMIT APPLICATION ADDRE S S ��'/ /`�"/.�=�TsLV`'( DATE rZ /S� �% E RMI T�� --�'c�.� OWNER -� - PLi]1��R �'�'t� c NATURE OF WORK �� °-� _ � NEW RELAY REPAIR INTERIOR sart SEw 5�,�'J� �� p WATER Bathtub Catch Basin �M S� Lavato Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste � Sink(other) Site Drain � �/�y/y� Shower Laundry Stand Pipe Floor Drain Laundr Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector inals Future outlets ** Violation notes on the reverse side �