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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13195
TYPE: BLDG D HTG D ELEC D PLBG;& SIGN D ZONING
FLOOD PLAIN
HEIGHT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '. - - - - - - - - -
OWNER
:!e~~::;r
DESIGNER ~
USElNATURE OF WORK ~/ -S-;~Z~ ~j~::::J-3 y~ tk1
PLAN NO.
ADDRESS
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 J{) ~ ~k-4-C
:2.. BT -1 WH -I- Disp
~Lav _Sh _DW
~ WC -L FDr --I- SP
-L Sink - L l)'b / - Eject
Other / - f;./.-1-/lr/f/Y' .rfrto"J--? ~ ~
_ WSoft
-DF
_Ur
_ CBasin
~ San. Sewer L( 4- ,r::'vt::
y
_SS
_ Storm Sewer
L Water /.:~ e~~ /e---
. /
~ cr~
.FEi::S: Valuation $ '.;J.eyz)
':SSUED BY /~/?7'
/
Permit Fee Paid $ h!?~ (/'
Date .:'") --f/ ~ <?f
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~0~4-
C. A fOWNER
ADDRESS
L~?-R?'
DATE
TELEPHONE #
/'
ADDRESS
OWNER
NATURE
PLUMBI~ PER..~T APPLICAn~ //'
i!~ ()~{;r'k~ DATE 51~0J1
_r:::~~ .-!!1-_'-.f.-- _ PLUMBER _!L.. Chd..,.,
,f /'.. I>
OF WORK -(tY e--uJ )'r..;(
NEi~ RELAY UP AIR INTERf OR
PEIOO:T#'
13nX;-
SAN SEW 41/< iF iF
WATER II' 2- Ba-ehtub Catch Basin
C:'l'n-QM ~n.l :t- Lavato-ev i Grease Trap .
..... ~ Toilet I f Sumo PUIttD
INSPECTION DATE INSPECTION DATE ~ Kit. Sink Loc al Waste
. ~ /rCJ(M Sink(other) Site Dra.in
S~~ F Shower j Laundry Stand P1.pe
i Floor Drain , Laund-ev Trav
I Disoosal Wat. Softner
Dishwasher .... ... D. Fountain
J Water Heater Ejector
n,.; n al s Future outlets
= ... ,...", .
1** Vj.olation. notes on. the. reVl!rSe sidel
(rl-e
WATER USAGE SURVEY
NOVEMBER 29, 1989
1845 Orchard
Frohrib
1.) 3/4" Badger 4189542898
Meters allc~ater to house. Bill
sewer and water charge.
2.) 3/4" Badger 4189542956
Meters water to two outside lawn faucets.
Deduct sewer rate from meter #1.
Note: Survey date 11/29/89
reading 1.) 000222
2.) 000009
New meters bill from "0".
R ic hard Wood