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/CITY OF OSHKOSH N 37903
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGX SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS
PLAN NO.
OWNER AM Illir/
DESIGNER
j p
USE /NATURE OF WORK 3 O ,S�jl
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 ....---C�
BT WH _L Disp WSoft /CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation d 0 Permit Fee Paid 0 0 Park Dedication
ISSUED BY Date -/9)-
Final /O.P. /5.,
In the performance of th'. work I agree to perfo all work pursuant to rules governing the described construction.
SIGNATURE LLB 4 -0 l 7
AG T /OWNER v
DATE
ADDRESS 3 /5/,..... 73o '4'
TELEPHONE
INC PERMIT APPLICATION
ADDRESS /a gr MI (7 P ERNIT#
�3 3 7763
l
OWNER DATE p
NATURE OF WORE F .....C.-,— �.Ew wf Cis 7
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER Bathtub Sump Pump
STORM SEW Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
ir /A 2-o 9j Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse sides