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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
01973
TYPE: BLDG D HTG D ELEC D PLBG G2K-SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Si~
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
I
.;
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
z.. BT -L WH
~ Lav -I- Sh
~WC -LFDr
-L- Sink -I- L Tub
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1
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- v J
-'- Disp _ WSoft
Low _ DF
-2- SP _Ur
_ CBasin
_ San. Sewer
_ Eject
_SS
_ Storm Sewer
_ Water
Other
J
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FEES: Val.uatloo ;fC.$ / ' -- Permit Fee Paid $ .
ISSUED BY /' A/-""7/ /' Date ///;b/""
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Park Dedication $
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Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE{)Z.~
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t () AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
WATER
6/973
PLUMBER
DATE.
_:0.
NAME OF
/11/3 tft C'
/gq
STORM
RELAY
NEW REP. NEW REP. NEW REP.
Bath Tub Gar. Disposal Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors Future Outlets