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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
0.6603
TYPE:
BLDG D HTG D ELEC D PLBG ~SIGN D ZONING
FLOOD PLAIN
HEIGHT
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DESIGNER
/760
&7
C~/(TV{ n;' ~~~ /~
t7rc~ L+
4ch~
PLAN NO.
ADDRESS
OWNER
USE/NATURE OF WORK
~A/rnll #- nF~.2~'
/ '
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
--I- BT
iLav
Lwc
_WH
_Disp
_ WSoft
_OF
_ CBasin
_FOr
_DW
_SP
_ San. Sewer
_Sh
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
~~
FEES, Valuauo~ $ .~
ISSUED BY
Permit Fee Paid $
Date
~_/
~ ,41?/ f;7
I
Park Dedication $
Final/O.P.Ca /6 /f7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
D(.:..:f!d U~
--
,J;; ~ '2- zR
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
NATURE
PLUMBING PERMIT APPLICATION
/76'0 cJvr. .;_ . DATE /o;t~~_ PERmT #
C 0,"7 :::: := PLUMBE; {A/4'~
OF WORK .' 6T ;;~ _ -:i-,(J{;'~;'~,f -# (5 Y?:Z 1
t%60:S
SAN SEW iF iF
WATER , Bathtub Catch B<lsin
STORM SEW 1 Lava tOry Grease Trap
I Toilet . Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
C! /O/6!f;' Sink(other) Site Drain
Shower Laundry Stand p~pe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Founta~n
Wa.ter Heater Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sidel
Iii I