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CITY OF OSHKOSH N2 40980
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGAl SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS l 7 S
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK 4/---C
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ��G
BT WH Disp WSoft CBasin
Lav Sh DW DF _L San. Sewer i&i C-
WC FDr SP Ur Storm Sewer 16 V C
Sink LTub Eject SS L. Water
Other
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FEES: Valuation S' d' 0 Permit Fee Paid Park Dedication
ISSUED BY 6` Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE M' ~k-t
A ENT /OWNER DATE
ADDRESS
TELEPHONE
S. PLUMBING PERMIT APPLICATION
ADDRESS ///—S J
DATE 1C.-- PERmiT# ,o i'g a
NATURE OP WORE p Al Ir
NEW RELAY REPAIR
n RI OR
SAN SEW �U"s) C
WATER
Y a. 'k.J L Bathtub Sump Pump
Lavato E'ector
q-- Toilet
DA, INSPECTION DATE Kit. Sink Water Softener
4SO Sink other Drinkin Fountain
Urinal
Waterheater Slop Sink
Shower Grease Trap
/1)/ S Floor Drain Local Waste
Laundry Tub
Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin