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~
CITY.OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
19736
TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
/9/0 Ik~
17 f ~-'7
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK J)~ <~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
Ht:ATING CONTRACTOR
<
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Fixtures
Switches
Receptacles
Circuits
fS-
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
PUfMBING CONTRACTOR
D.~, ~~
'_BT
).- Lav
),-WC
_WH
iSh
LFDr
_Disp
_DW
_SP
_ WSoft
_DF
Z-CBasin
~l^ '-
~ "~4"Oc..
_ San. Sewer
_Ur
_ Storm Sewer
~Water d ' --=
_Sink
Other
_ L Tub
_ Eject
_SS
~yY
FEES: Valuation $ le>I boO. 0 0
ISSUED BY C4 ~
Permit Fee Paid $
Date
I
3:2,,0 ()~
g..-~- ?D
Park Dedication $
Final/O.P. 1)- Ro- 71J
erform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
NATURE OF
PLUMBING PERMIT APPLICATION
17/(1 ~ ' DATE g~;::2~..9~
1!1~./~ . PLUMBER f}
WORK 0' j)J2.<-y ~~~..-' ( ~. ~~,)
PERMIT ff /173t
~
(;
(OCO
~)h
<<,
(6)~(h<.~~
~ iF iF
SAN SEW
WATER Bathtub ::2- Catch Basin
STORM SEW ;z. Lavatory Grease Trap
;J- Toilet Sump P1.lrnp
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
W ~~(/.e~e.fi~ ~/o ~~,J~ Sink(other) Site Drain
/ Shower Laundry Stand p~p
~.J)~l2-) I Floor Drain II '$ Laundry Tray
~ ~L.e~(2-) Disposal Wat. Softner
Dishwasher D. Founta~n
, ~~ Wa,ter Rea ter Ejector
r of('7-jP-7P Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
I~~
reverse side
ADDRESS
CTW'NE R
PLUMBING PERMIT APPLICATION
DATE 7/3o/?O PERMIT# /~ 7 3~
PLUMBER / ~ ~ Ik~
NATURE
J~
SAN SEW f" iF iF
WATER I ,. LA.. Bathtub z,.- Catch Basin
~TORM SEW ")/ Lavatory Grease Trap
'v Toilet Sump Pumn
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
w~1{ 7j30j7b Sink(other) Site Drain
I Shower Laundry Stand Pipe
i Floor Drain ~# L.aundry Tray
., Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
. TTrinals Future outlets
NE1,v
RELAY
REP AIR
INTERIOR
f** Violation notes on the reverse sidel