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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
I
N~
02391
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG J& SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I
OWNER
:?:3 () r/a,...,,hrv (./1' &. .-
/2.~// .~~I~(~C' I
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK'
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BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Class of Const..
Height
Occupancy Permit
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
-LBT _WH
~Lav LSh
~WC _FDr
~-<7,e", --
/ /
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_Sink
Other
_LTub
_ Eject
_SS
_ Water
FEES Valuation $ L~1t Fee ;~,~ $.;"."'" .. ~~
ISSUED BY /~. Date /~~;) / .
Park Dedication $
Final/O.P. :1/9/'g7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A- ~ z: ~~_
. AGENT/O NE '---.. DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION ,/
PLUMBER ~"'ya-= DATK 8"k~
NAME OF OWNER ;!J~~ f--"", "'A~L ADDRESS 8'3 Q /Ja-v.k ./";Ad
1/;>; j,J r'(/fJ L) CF~~ f(f I"/"'M
o 2~3 qf
-.2././1.- / i"'1 Ie /fr..-- >r~/< ,f- ;;~:;( -~~!:V-J j~~ ~
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NEW SAN. WATER STORM RELAY SAN. WATER STORM
Main to Curb Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumos Reo air
Seotic Tanks
NEW REP. NEW REP. NEW REP.
Bath Tub I Gar. Disposal Catch Basin
Wash Basin I Dishwasher Conductors
Water Closet I Laundramats Grease C.B.
Sink Water/ Softener Sumo PumP
Water Heater San. Bubblers Bar Wastes
Shower Bath , Urinals Range Boiler
Floor Drain L Dental Cuspidors I I I Future Outlets
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COOE'ENFORCtHENTDIVIs ION
DE P ARTME NT ot C OMHUNtty .. DEVEL9 PM ENT ....
CITY OF OSHKOSH, WISCONSIN'
VIOL A TIO N ICORReC TJC::fN NOTfcE
DATE INSPECTEnF'ebruary ~. 1987
OCCUPANCY INSPECTED
ADDRESS
O'loi'NERS NAME
AnDRESS
NOtICE "DELIVERED I EXPLAINED TO:
Sing! eF.!:lmil.y,.,.,.
;--1;
830 Harhorview
Donald F'enrieh
same
Donald fenr1chlTf\ailed
ee:
Jaek Meyer
ITEM ~F ORDER FINDINGS Of INSPECTION
1. I.LRTl.82.21 F'hial inspection of pium'l)ing
(I U$ tallat ion of ba th room
DEFICIENCIES MUST BE CORR.tGTED A."1DAPPROVEP BEfORE
CONGEALMENT. CALL (414) 236-5050 FOR INSPECTION.
COHPLIA."tGE DATE:. Imedia te 1y
INSPECTOR: ..
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Ric hard l'lood
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