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N2 36464
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7� PLAN NO.
OWNER Ge�� 6K,4,4„1.1
DESIGNER
USE /NATURE OF WORK //S K 6---1-:
U
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 4
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer V C
WC c
FDr SP Ur 1_ Storm Sewer T c-
Sink LTub Eject SS Water
Other
FEES: Valuation t�0° °O Permit Fee Paid 30 G Park Dedication
ISSUED BY Date /6/A70 '3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
4-0...P 0 -ZCJ
AGENT /OWNER DATE
ADDRESS
TELEPHONE
MINC PERMIT APPLICATION
ADDRESS 1 2 -7- 1 i fo
OW DATE PERT# 3� S��
LiEB i �e
NATURE OF WORE 0 .--e-,-----/z-rsi
NEW RELAY REPAIR c RIOR
SAN SEW KAJc
W R
STORM SEW vC °Bathtnb Sumo Puma
Lavatory Ejector
I1�5 'Toilet Water Softener
Kit. Sink a �1(in Fountain
l Sink(other)
urinal
Wpterheater Slop Sink
Mower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
,ter