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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16248
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
Ig-'~ /I-:::-b-vy
sit fir le:j ;!Ja(/71/t e (
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
S~("~
~/ t'~r{~~
~~y~4
BUILDING CONTRACTOR
Size.
Foun~ation
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
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
O~~ ~~~~
_BT _WH _Disp _ WSoft _ CBasin 411 pt/C-
_Lav _Sh _DW _DF -1 San. Sewer
_wc _FDr _SP _Ur _ Storm Sewer
1 Water jtfl
_Sink _LTub _ Eject _SS rUff-e-
Other
FEES: Valuation $ 9->07l tt:P--.
ISSUED BY ~(J'7r/
~~v'
Permit Fee Paid $ . .
Date I/-? -s:!
Park Dedication $
Final/O.P. /0- 9- P/1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~~
?J . AA~
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
PLUMBING PERMIT APPLICATION
/0' r /Ie /L7 L, 4 DATE /O:;L - ~_ PEJOO.T ~}-4 g
'- ~JlI r- / ~ 0 ~A c (I PLUMBER J '. r 0Vlt rY'?<./:: .
< s::.-~...-1 ;
NATURE OF WORK
SAN SEW 4/ '1 pI- C. iF iF
WATER 'J"'Ct 1/.1'" Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toile't Sump Pl.lmp
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
(f 1 b"'b Sink(other) Site Drain
jJa4r,{';/ Shower Laundry Stand p~pe
/0/947 Floor Drain Laundry Tray
r Disposal Wat. Softner
Dishwasher D. Fountal.n
Wa.t:erHeater Ejector'
Urinals Future outlets
NEW
. RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sideJ