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CITY OF OSH KOSH N2 31380
PERMIT - APPLICATION AND RECORD
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ADDRESS t b S- h ~ G- . PLAN NO.
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OWNER
DESIGNER
USE/NATURE OF WORK
#5 r /...
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I
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
.
,J.
Electric Servo
New 0 Change 0 Temp 0
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
-.LBT LWH
?-- Lav ~ Sh
rWC ~FDr
LSink _LTub
Other
/
J(-pt-j( 4~
_Disp _ WSoft _ CBasin
~DW _DF _ San. Sewer
1sp _Ur _ Storm Sewer
~
FEES: Valuation $
ISSUED BY
ftt/a.o ()
#?
1=4\": It! ~~ _Waler
v /
~t?: D~ri
Date I't:>.- ~ .- '7 ~
Permit Fee Paid $
Park Dedication $
Final/O.P. ? /dJ3 /9.. g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE1f~ r!-.~
ADDRESS .
jt14?~
DATE
TELEPHONE #
PLlDmING PElmIT APPLICATION
ADDBESS Ibs-C, ~ t$-~ DA:rE /0 -1& -7:>-- ~
OIilIEll ~~ C~..L-,J ~ If +-/1 ~~
&ATmU!: OF ~01UC MY'r -- ,
,
NETl REI.AY UP AIR RI OR
Z/38 ()
SAN smw # I
iJAIER f Bathtub I ! Sump PUlllP I
Snl '2- !.avatorr f .f Ej ector
;2. rToilet f I Water Softener
!NSnC'rION DAn: INsnCTION DAm I Kit. Sink ( Drinkin Q: Fountain
LIb- If).~ ;}-/ .,f :.f 100 00 Sink(otherJ Th-;"",1
---- / W",terheater I Slop Sink
I,! I J- I I Grease Trao
~~ I Floor Drain I Local Waste
Laundry Tub Site Drain
r 'S '" 7-/; -1 3 Disposal I Laundrv Standpipe I
J Dishwasher. I Catch Basin
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** Violat:ion noees on the 1:'evene side),