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CITY OF OSHKOSH N°_ 32746
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGAi SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 47 PLAN NO.
OWNER
DESIGNER
e_____
USE /NATURE OF WORK /IC F 0
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 -0 .,-.4
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
r Po
WC FDr SP Ur f Storm Sewer V. P J C
Sink LTub Eject SS L Water
Other
FEES: Valuation 2 _�Q ra d Permit Fee Paid -3 c" G V Park Dedication
ISSUED BY tfol Date 7 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE "'t
c -4
AGENT /OWNER DATE
ADDRESS
TELEPHONE
D7
ING PER= APPLICATION
ADDRESS (2 C 1 i DATE, t 7 s 7-T PEffiT# 3 2 7
OWNER li. ..i l
r
NATURE OF won A F 0
RELAY REPAIR I 4, tR
SAN SEW
WATER Bathtub
Sump Pump
$'ARM SEW 5 Lavatory Ejector
Toilet Water Softener
4 or, b__ 0 c ON DATE Zit. Sink Drinkin Fountain
C` Sink Other urinal
S� l Waterheater Slop Sink
U10 Shower Grease Trap
Floor Drain Local Waste
e --0 Laundry Tub Site Drain
Disposal Laundry Standpipe
,Dishwasher Catch Basin
Violation notes an the reverse side{