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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
24918
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ADDRESS
PLAN NO.
OWNER
""G'" ;
"'~"u"' O' WOe< ~ ~
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuei/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
P~D~~t¡
...LDW
_SP
_WSoft
DF
- CBasin
~
PLUMBING CONTRACTOR
, --.!.. BT - WH
,1Lav _Sh
.J.... WC - FDr
1 Sink
San. Sewer
_Ur
- Storm Sewer
Other
LLTub ~ ~
~-IC¿;J 'I-¡
-SS
_Water
FEES: Valuation $ ,)-JLe:> Ö. "" ð Permit Fee Paid $
ISSUED BY W K~ Date
C/
/
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Park Dedication $
Final/O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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AGENT! N
DATE
ADDRESS
TELEPHONE.
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~ ,f{.,)-o ( .s--) (¡) 3, --,¡--- -..f ~ING PERMIT APPLICATION
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NATURE OF WORK .JI.j/ ..-I'~~d!-Ç ~.;, " U (' ú./.~~
NEI'¡ RELAY REPAIR INTERIOR
f I;
I Bathtub Catch Basin
I Lavato I Grease Trap
I Toilet I Sum Pum
INSPECTION DATE INSPECTION DATE I Kit. Sink Local Waste
f..'~ +. - # ,()..' 1 "- .;;>(' Sink(other) Site Drain
, ~...{ f1\"-"- ?S" Shower t Laundry Stand hpe
'!).; T S/ - 2- '2- Floor Drain Laund Tra I
,'\ . Dis osal Wat. Softner
¡'r ¡¡,-/ý"'-7-:2-' / Dishwasher I D. Fountain
, J ~ Water Heater Ejector
((~) /I- (c.J ~ 11~ '~/.L'~ . ,.' inals Future outlets
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SAN SEW
WATER
EW