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Home My WebLink About0019436-Plumbing (remodel bathroom) � CITY OF OSHKOSH N°_ 19436 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� , PLAN NO. OWNER - DESIGNER USE/NATURE OF WORK Al.st � BUILDING CONI"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 FEES: Valuation $ �a�� Permit Fee Paid $ ��O'•� a Park Dedication $ ISSUED BY Date 7 �� ' Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR � ��`" AGENT/OWNER DATE ADDRESS TELEPHONE# PLUMBING PERMIT APPLICATION ADDRESS I�� /1�/��/G�,,d DA� / 7 U PERMIT �� -�'� OWNER __ T"� �B A�'�r �'��r PLUMBER S£�'F J��.S1�JE/S�'E� NATURE OF WORK __D/9 '�� E� /�I��J f'� - �i9�z R ��£i¢T"�'R NEW RELAY REPAIR INTERIOR SAN SEW �k �� WATER athtub eatch Basin STORM SEW Lavato Grease Tra / Toilet Sump Pump NSPECTION DATE INSPECTION DATE Kit Sink Local Waste ��,��f ��'?`� /! �� -� Sink(other) Site Drain ' Shower Laundry Stan pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Wa.ter Heater Ejector a '� g� �Q�� ,¢� Urinals Future outlets .�t�-t a��*-L � ��_ l** Violation notes on reverse side