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CITY OF OSHKOSH
N2 39101
P ERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG, 1 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 77 PLAN NO
OWNER
DESIGNER p�
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USE /NATURE OF WORK /Y -S (1
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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
BT WH Disp WSoft CBasin
Lav Sh DW DF 1 San. Sewer i C
WC FDr SP Ur Storm Sewer T V C
Sink LTub Eject SS j_ Water
Other
FEES: Valuation /go o a 'n "a Permit Fee Paid ....?0 0 0 Park Dedication
ISSUED BY Date V Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE f Z G act— .f e...c e,.g3r)-• 0. 7
AGENT /OWNER DATE
ADDRESS r yo2 v e i
44, s so yi, -JP 3, 2s-
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS 7 ,e
OWNER f SC, DATE PERMIT# 37/0
PLUMBER i 4,.
NATURE OF WORE S a A
NEW RELAY REPAIR
AN e q C
INTERIOR
WATER
Bathtub Sum. Pu
Lavato Ejector
Tgpg DATE Toilet Water Softener
DAZE Kit. Sink Drinkin p Fountain
�w s e Sink(other)
Uri pal
Waterheater Slop in
Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
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