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CITY OF OSHKOSH N° 33863
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS `O 7
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK NSF k. 0 t
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 E
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer s C
WC FDr SP Ur I Storm Sewer "Pv' C
Sink LTub Eject SS Water l C
Other
FEES: Valuation G� w G P ermit Fee Paid 3 D 0 Park Dedication
ed cation
ISSUED BY Date 3
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Z/ G��- r 7 9
5 I 9 3
AGENT /OWNER DATE
ADDRESS Lio 4' 'Z h.-4 .1 1 A 5 2 I y 6 6(
TELEPHONE
Lgt(- k Yo7
PERMIT APPLICATION
ADDRESS 6 %ism' DATE S r.2 9 PEI�lI? 3 3
ii
OWNER
L
NATURE OF WORE dr
NEW RELAY REPAIR r a' OR
agR WAr... Bathtub Sump Pulp
r•):+4 3'`. 11111171,021 Lavat- E' ector
Toilet Water Softener
ISp —i ON DATE INSPECTION DATE Kit. Sink Drinkin g Fountain
kh-jt!-4,, S 2 4 lIIk(atile=) T anal
Waterheater Slop Sink
,/70 Shower Grease Trao
Ce Floor Tub Site Waste
Lauundry y Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side]