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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
24683
TYPE: BLDG D HTG D ELEC D PLBG 1&'. SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
I ? S-.;2. J/c~ &-.A-
-~~-'C~P- C~~ !k~~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
N ...{P.-.-v ~ F ~ -
~t-7
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ii
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
.>
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR f I S ~ ~_
"-ST L WH ~ Disp
'3- Lav -'- Sh ~ DW
.3 WC -'-- FDr -'- SP
LSink _~~b _Eject
Other I -,4 (:t-J ~~ I-f-
_Ur
_ CBasin
_San. Sewer
_ Storm Sewer
_ Water
~
_ WSoft
_DF
_SS
I C;n<fC ~ y
FEES: Valuation $ 7b 6 o. ~ i)
ISSUED BY 6A.J ~...
C'
Permit Fee Paid $
Date
J
C7<,ooV
9- - 7 ....- 7/
,
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 ~---:z;>
~~#
AGENT/OWNER
H,J{
..,t;C&rSo
1s /'7/9/
DATE
ADDRESS
TELEPHONE #
~J4~#~'s-8S--,..c299S- . -
4' . PLUMBING PERMIT APPLICATION
ADD.RESS 5.2 ~c;.-?- DATE. 3/7/:1/
. .' ~ . / I '-
OWNER . tV{ . _ PYJMBER t .>
NATDRE ~ WOO .IV.a-v S r ~ -. ~ t!9-
NEW RELAY REPAIR . INTERIOR
~" IT# .2-)c{, R:?
f: 73 Y ~ 57/:L..
~
SAN SEW iF iF
WATER ;J.- Bathtub , I Catch Basin '7'
STORM SEW 3 Lavatory t III Grease Trap
J Toilet J I I I S,umo Pumo , .~~;;
INSPECTION DATE INSPECTION DATE I Kit. Sink I Local Waste
4 e- ~-7 Sink(other) Site Drain
I Shower , I Laundry Stand Pipe I
]::' -/J~1f;' i- /7L:;S'iieLj I! Floor Drain f Laundrv Trav
I Disposal , Wat. Softner
R.J... - C) . ~ - .::J-~' ! Dishwasher I D. Fountain
I Water Heater I Ejector
F (,. It:, TTrinals Future outlets
0 .,.- ;}. ~ I ffJ1
t
rj{(J~~L
** Violation notes on the reverse side
M~
of "g [r,4 t11
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