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Home My WebLink About0021118-Plumbing (install laundry tray) /� CITY OF OSHKOSH N°_ 21118 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� 'Z'�r /'1`« PLAN NO. OWNER DESIGNER USE/NATURE OF WORK -'� BUILDING CON7'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 —Disp —WSoft —CBasin � —Lav _Sh _DW DF _San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink _LTub —Eject SS —Water Other l FEES: Valuation $ ��'� O b Permit Fee Paid $ ��'"° U Park Dedication $ ISSUED BY `-��D ��-� Date f�� 9v Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' �l��`'�� °l y�� AGENT/OWNER DATE ADDRESS /Q� S/eUCiL'S C� ��I' ! �7 / TELEPHONE# PLLIMBING PERMIT APPLICATION ADDRESS 1�� "'� DATE � '� -� l"'' PERMIT �� l/�+� OWNE R ��`-�%'-- P LUMBE R �i�'��'�- NA'CURE OF WORK --� � NEW RELAY REPAIR INTERIOR SAN SEW �� k WATER athtub eatch Basin STORM SEW Lavator Grease Tra Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste ' Sink(other) Site Drain Shower Laundry Stan pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Wa.�er Heater Ejector Urinals Future outlets ** Violation notes on reverse side + I � � I � i f � I i � � I