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37693
CITY OF OSHKOSH N
PERMIT APPLICATION AND RECORD
TYPE: BLDG El HTG ELEC PLBG, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /,)-S6 42 PLAN NO.
OWNER II I I\ "2-i
DESIGNER
USE /NATURE OF WORK 'U .srt Qlc.6( pay,
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 _ja. en m-O ii-ev
BT WH Disp WSoft CBasin
L
C--
av Sh DW DF San. Sewer J L I C
WC FDr SP Ur 1_ Storm Sewer fie
Sink LTub Eject SS Water /(ic
Other
FEES: Valuation /o0. Permit Fee Paid iW• Park Dedication
ISSUED BY C Date Final /O.P. S 9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1/'4
AGE O WNER DATE
ADDRESS
TELEPHONE
1 f
Z x/4 5ZQ
SJ i.ING PERMIT APPLICATION
ADDRESS. /2 g G W -'F ill DATE l
OWNER PERMIT# �7C¢ y
f PLDM ---c NATURE OF WORK S
NEW RELAY REPAIR INTERTOOR
SEW f i
WATER IMMO
y A. Bathtub MI su Pu 4 -_11111 Ejector
Toilet Water Softener
LMEMEOLPN DATE INSPECTION DATE K. Sink Drinkin g Fountain
s S s c�/
Sink(other)
D
Urinal
W terheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side{