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CITY OF OSHKOSH
No 39392
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGSIGN ZONING FLOOD PLAIN HEIGHT
/3/
ADDRESS PLAN NO.
OWNER 4
DESIGNER
LZ
USE /NATURE OF WORK
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 San. Sewer t4-17U C
WC FDr SP Ur r Storm Sewer 6 P U C
Sink LTub Eject SS Water
Other
a CJ
FEES: Valuation d Permit Fee Paid d E Park Dedication
O
ISSUED BY Date 1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AL A-\(il aS l--- 5---11-79-
AGENT /OWNER DATE
ADDRESS 3 ¢!/9—
TELEPHONE
Ko
Pule= PERMIT APPLICATION
ADDRESS 3 s DATE PERMiT#
OWNER -S L I a: e -c
NATURE OT WORK ...2/S i 0
NEW RELAY REPAIR I' RI OR
SAN SEW Ye1/4) C
WATER 6 Bathtub Sump Pump
STORM SEW l Lavatory Ejector
Toilet Water Softener
NSPE ON DATE CTION DATE Kit. Sink Drinking Fountain
7SPE
Ssn k(other) Urinal
�l/I/ Si S K Waterheater Slop Sink
,Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes an the reverse side(