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~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
02231
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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C"' C-~' / ck ~
l7r)C7' .' CJ c- a-Yt~S '0.(- ,. C/..:....,
PLAN NO.
OWNER
DESIGNER
5'00:/v- ,a4A d/C. (/c:f'.4,,- /:;.?:%b-v?:!:~
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft
# Rooms
'# Stories
Class of Const
Height
Occupancy Permit
Foundation
"'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
C]J' ~5
. ~~...<..-U~
_ WSoft
_DF
_BT _WH _Disp
_Lav _Sh _DW
_WC _FDr -4-- SP
_Sink _ L Tub _ Eject
Other
_Ur
_SS
.-/
~~
FEES: Valuation $ . (J?) .
ISSUED BY ~/~o-/
. ~V/
Permit Fee Paid $ /~
Date /-2 hit("
Park Dedication $
Final/OP.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
f7'R- ;~"
DATE
ADDRESS
TELEPHONE #
'-'"':~~""",:,?'~-'__i
PLUMBER
~~~
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PLUMBING PERMIT ,APPLICATION
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C6VII W~ i~5;::!___
O:l-~ 31
,y;~s
NAME OF OWNER ~ C;-~P'f
~
DATE.
ADPRESS
s-~ /6 10/ .9(
NEW SAN. WATER STORM RELAY SAN. WATER STORM
Main to Curb Main tc) Curb
Curb to Bldg. Curb to Bldg. _
Elec t . Pumps Repair
Septic Tanks .
:
,.
NEW REP. NEW REP. NEW REP.
Ba th Tub Gar. Disposal Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pumo
Water Heater San. Bubblers Bar Was tes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors Future Outlets