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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
02453
TYPE:
BLDG D HTG D ELEC D PLBG ~IGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
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e., S .S"
DESIGNER
USE/NATURE OF WORK
/~$"/:Je, '/}7
AAJ LU /Ie:; u ~ L
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC 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
/ __ BT I' WH
-3 Lav 1Sh
.:3 WC L FOr
L Sink L i:Tob A-w:
/.(6) c_ Ie
_Disp _ WSoft _ CBasin
-Low _OF _ San. Sewer
LSP _Ur _ Storm Sewer
_ Eject _SS _ Water
Other
FEES: Valuation $ .3 ~ 00- <t> C>
ISSUED BY m ',' ~
Permit Fee Paid $
Date
'3 9- er D 7'';loeJ
/~A//f~
, "
/
vi
Park Dedication $
Final/O.P. ,,1/.t? IS" ~
In the performanc~e of 1";8 ocklagree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ~ ~
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
~
NAME OF O~ER A(('~ el.s;~e<;:r
;0. 04, I d-13~ It b C~~~.=(
. ,e fesr o-&-tl- !~{.1?7
NEW SAN.
WATER
PLUMBING PERMIT APPLICATION t;:<cj5""3
DATR d'b6.!.:j. . .
_..ADD~SS /Y rJO 1Jre- a..-oI ~
~2/2V
------ 3IJq
S
WATER
STORM
PLUMBER
NEW REP. NEW REP. NEW REP.
Bath Tub , Gar. Disposal Catch Basin
Wash Basin 3 Dishwasher T Conductors
Water Closet ~- Laundramats f Grease C.B.
Sink 1 Water Softener Sump Pumo /
Water Heater f San. Bubblers Bar Wastes
Shower Bath , Urinals Range Boiler
Floor Drain I Dental Cuspidors Future Outlets
WATER USAGE SURVEY
1820 Orchard
Me-t:er if 1 . 3/4'1 Badger
if86575390
Meters water to building. Bill
sewer and water charge.
Meter if2. 3/4" Badger
if8 6 575389
Meters water to outside lawn
faucets. Deduct sewer rate from
meter #1.
,,_:
Note: survey date 2/2/87
readings = NEW METERS ~ILL FROM 0
Richard Wood