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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
06758
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BLDG D HTG D ELEC D PLBG)2t SIGN D ZONING
FLOOD PLAIN
HEIGHT
TYPE:
OWNER
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{ . { I
PLAN NO.
ADDRESS
DESIGNER
US8NATURE OF WORK fn.A!Z:~ ~t~ ~:;:.~ =~I/~(Zl ,~
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
-LBT LWH LDisp
~Lav -LSh I__DW
:J-. WC ~ FOr -I- SP
-+- Sink L L Tub / ;-- Eject
Other I ~ ~'t'Vl r;.t... ~ 5~'/ hi:A
7 I
~f:/
_ WSoft
_OF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water.
FEES, valuat;o~.$ ~ ~ /
ISSUED BY. ~~/
,
.... ... .... ........... ..... ...1/"
Permit Fee Paid $ ~ ~;
Date I / Cf/ff
Park Dedication $
Final/O.P. t;L/?O~ I. //<././8(-
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~<:- / .
~-L '\
AGENT/OWNER
/'-./- %6
DATE
ADDRESS
TELEPHONE #
SAN SEW if if
WATER I Bathtub Catch Basin ---
STORM SEW :J. Lavatory Grease Trap
::l. Toilet -, Sump Pump
INSPECTION DATE INSPECTION DATE I Kit Sink Local Waste
Sink(other) Site Drain
r /2 iJolil 1r- ..J-c I Shower 1 Laundry Stand pl.pe
11<i(~D j Floor Drain i Laundry Tray
, Disposal --. Wat. Softner
j\E f( /51~ ( I Dishwasher D. FountcHn
1.;.l(t 61 J Water Heater Ejector
Urinals Future outlets
ADDRESS
OWNER
NATURE OF
"eW-
PLUMBING PERMIT APPLICATION
l,f /. '5 cJreL-/ C ~ DATE/:b~~ PERMIT #
.K~ flL7f7~~ PLUMBER ~ k./
WORK ~A .) srfZ-
Ot /)6"
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sidel