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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14995
TYPE: BLDG D HTG D ELEC D PLBG]:il SIGN D ZONING FLOOD PLAIN HEIGHT
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OWNER [7. ,/31-e ; "
DESIGNER
/lAuA/ "'i/AAj I' ~4/14: 4 I MS-Zc4 ~i/J4A4 L~
USE/NATURE OF WORK
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
-L BT -'- WH
2 Lav -I-- Sh
2 WC --L FDr
-/- Sink -L- L li::tS-
,~
C~//-e
-I- Disp
~DW
Lsp
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
Other
11~c(
/
52 ~./
F - / ?<:??
Park Dedication $
Final/O.P. 1/... :J /Y-B'r
FEES: Valuation $ ""9';lcrv~
ISSUED BY ~ d~-;;;<~
Permit Fee Paid $
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
1)("
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DATE
ADDRESS
TELEPHONE #
SAN SEW 1; 1;
WATER Ba th tub i I Catch Basin
STORM SEW Lava torv' H Grease Trap
Toile't in Sump P1.lmp I
INSPECTION DATE INSPECTION DATE Kit Sink I , Local Waste
~t Y/? ) ..}/{ I Sink( other) Site Drain
I /lvv\. v.ec..<"... e.'" 0-"..,/.....0' >'-' Shower Laundry Stand plpe .
V) ./<4'.j~l-"y sLV<-)l';! Floor Drain Laundry Tray I
f..f ff,J ( (~:S" 'v"Vc (, - ) Disposal Wat. Softner
( )'i!f/ ~.5 I hc.GV'~~" n. Dishwasher D. Fountaln
W.a,ter Rea ter I Ej'ector
"... III :J..-1 k- " {) or (>1.",. ~C;(,,/'I.,I'-c"- Urinals , Future outlets
NEW
RELAY
REPAIR
INTERIOR
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1** Violation notes on
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reverse sidel
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