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CITY OF OSHKOSH N 37908
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS i��� (O
PLAN NO.
OWNER
DESIGNER 7
6
USE /NATURE OF WORK ���g
v-
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
1
PLUMBING CONTRACTOR 7e-- A
BT WH Disp WSoft CBasin
2TLav Sh DW DF San. Sewer
3 i
WC r FDr SP Ur Storm Sewer
Sink _L-L-T-ttb C..I.A 1 Eject SS Water
Other
FEES: Valuation $Sb ,O O Permit Fee Paid 8' G G I Park Dedication
ISSUED BY d Date Z K Final /O.P. 51/c/9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -9
AGENT /OWNER DATE
ADDRESS AO A (I e- /�'zc�i, d 1 2 3 ,tor
TELEPHONE
v PERMIT APPLICATION /c-5 ADDRESS, 2 /4 DATE -e 7-3 pze :i.: T# 3
OWNER p i .i..4 S ii P
NATURE OF WORT /I/575 j
NEW RELAY REPAIR RIOR
SAN SEW
WATER Bathtub It Sump Pump
STORM SEW Laystory Ejector
2- Toilet 1/ 1111 Water Softener
LOPECTION DATE INSPECTION DATE 1 Kit. Sink Drinking Fountain
ul& /0/--S Sink(other) Urinal
J Waterheater Slop Sink
I Shower Grease Trap
(f t Floor Drain Local Waste
1
Laundry Tub Site Drain
Disposal Laundry Standpipe
R 1 t i t( kk\ Dish asher Catch Basin
r 3// .q/
t. 4 is 4.,,,i
S
Violation notes on the reverse side(