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CITY OF OSHKOSH N° 37794
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG IT SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /06 �Cl�j(�7C PLAN NO.
OWNER Bob /CQ4LxAL. I 171
DESIGNER .�-n
USE /NATURE OF WORK AIS Fie ie N I/d n pi
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 atrn rYU7YL4
BT WH Disp WSoft CBasin
Lav Sh DW DF I San. Sewer 4 f VC-
WC FDr SP Ur I Storm Sewer II-4)
Sink LTub Eject SS _L Water 1 C_1.
Other
FEES: Valuation 636• Permit Fee Paid 3 0 .O 0"' Park Dedication
ISSUED BY
Date 1 1Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Y AA_
AGENT /OWNER DATE
ADDRESS
TELEPHONE
ADDRESS /4236) S, •DIIDINC PERMIT APPLICATION
-0/. OWNER a-G i 7 �9 P r
NATURE OF Tian .S'f R 0 DER S'Q„
S i L� 1 REPAIR /INTERIOR
WATER �LI� �_e
MI Sum. Pu
�o ON DATE Ejector
INSPECTION DATE Water Softener
.01
___e_,72,.._
Drinkin Fountain
Slo. Sink
Floor Drain a -se Tra.
1111 Laundry Tu. Local Waste
awl Dis.osal Site Drain
IIIII Dishwasher Laundr Stand.i.e
Catch Basin
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