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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14743
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG A- SIGN 0 ZONING FLOOD PLAIN HEIGHT
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OWNER
DESIGNER
USE/NATURE OF WORK
~AA/
"S/tJ'u;t, +~/y
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR !>{/ci;tt~
2BT L WH --L Disp
~Lav _Sh -LDW
...:g WC J- FDr -L SP
-I- Sink -L- L ~ - Eject
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
ISSUED BY
Park Dedication $
FEES: Valuation $
Permit Fee Paid $
Date ~-1-8/
Final/O.P.
ItJ-:l(P-Sc;
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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Lt-
c;,2'2$'
?--- i -J> 1
DATE
AGENT/OWNER
ADDRESS
TELEPHONE #
P7..2:G PERMIT APPLICAnON
ADDRESS ;!tOf2%~ ~ DAtt ~~~~;h
OWNER ' y i 4'l::' PLUMBER (A /) ~S"
NATURE OF WQ1U< ~A A / ~?
.. ... - - - - - - - .
NEi~ RELAY REPAIR !NTERIOR
PERMITf; /0 ?<(3
!N'SPEcnON
I 1;
%.. Bathtub
S Lava torr "
- Toilet II
Kit. Sink J
Sink(other)
I) I Sh~er
$'c..v.......o, fir I Floor Drain &
~ IdU.-J r j I DiS1)osa1 I
~!-_. IhJ7;"/tIV'-e. 1 Dishwasher I
j or ).) ~F2... s---~y~A.il Water Heater i
fl-e.-</e' ,,/ M- 10 ""-:z.e.vc.....,.._'TTT....;n.ds ,
I
DATE
INSPECTION
DATE
1;
,
i
I J
I
SAN SC:W
WATER
~,.nTnf .~,:;.t
&(6
~12
C/30M
7
I (
Catch. Basin
Grease Tratl
S U1Utl l'umtl ,
Loc a1 Was te ·
Site Drain
Laundry S canl! l?1.pel
Laundry Tray
~~at. Softner
D. Fountain
Ej ector
Future outlets
Hai-t~ ) It (J #4=.. g <1 ytj ?.C; 3 f'
00-k-f 'fir Jb-. 8q.)<;216 7
r- !o!<c!j,
r** Violation notes on the ~everse sidel