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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
06696
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG j2( SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
.2ft~/~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
.57z.-c... <./--eA
("t....-c.,1er- cf 5~/o-----
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat tJ AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
N
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
CY~ ~AA/e-
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF -(- San. Sewer r t/ rVL
_WC _FOr _SP _Ur -I- Storm Sewer ~t; j/vc..
_Sink _LTub _ Eject _SS I-- Water / CA !""cp ;f'7A-
Other
ca::2--.
FEES: Valuation $ 5? fD
ISSUED BY ~/'1~~----
Permit Fee Paid $
Date
./
jf;;1
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
,L Ff~~J
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
PLUMBING PERMIT APPLICATION
~:-<o ~~ cl DATE 11/36;b
_~hevf '-_ _L Pl'UMB~1? Jdbr
S'{-tA) d- ,\1 -
PERMIT if 06' t59~
NATURE OF WORK
SAN SEW d'( DI/( if if
WATER ~ f( I' /Jt1.t? Bathtub Catch Ba.sin
STORM SEW 1/" CX/f_ Lavatorv Grease TrfiP
v Toilet Sump P1.lmp
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste.
COVC/vG/ W/~ Sink(other) Site Drain
, Shower Laundry Stand
{?<-<-{' p~pe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Founta~n
Wa.ter Heater Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sidel