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CITY OF OSHKOSH N° 37699
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG)e SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 04 0 1- 60 '14 LAN NO.
OWNER e4b �G�/� (4
DESIGNER L
USE /NATURE OF WORK f SF/'� C j,dwi
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 SQ
BT WH Disp WSoft
CBasin
Q_
Lav Sh DW DF r v U
San. Sewer 9 Q___ WC FDr SP Ur t V Storm Sewer Y i' C
Sink LTub Eject SS r
—L Water
Other
FEES: Valuation 7,/),g o6) 06 J
�l Permit Fee Paid Park Dedication
ISSUED BY Date Final /O.P. 9 7
7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ENT /OWNER
DATE
ADDRESS 1
TELEPHONE
n i
o PERMIT APPLICATION C)/'
ADDRESS i A.-_ r- DATE Ya '_3 PEmCT# 376079
OWNER
NATURE Or WORK /SF 1 /mil
NEW RELAY REPAIR i RIOR
SAN SEW r�+' T
WATER l Bathtub Sump Pump
BRM SEW 1 J c Lavatory y
Ejector
Toilet Water Softener
+t- on DATE INSPECTION DATE Kit. Sink Drinkin Fountain
Sink other Urinal
5 UV
s S 7/7/?:3 Waterheater Slop Sink
,Shower Grease Trap'
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
.—.T Dishwasher Catch Basin
Violation notes on the reverse side