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CITY OF OSHKOSH N2 36582
CADY PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Ai SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS '2 83 /1/ 1 PLAN NO.
OWNER -er,
DESIGNER n
USE /NATURE OF WORK /I✓ S r ei
g
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 j c• v±—
BT WH Disp WSoft CBasin
I Lav 2Sh DW DF San. Sewer
WC i FDr ___I_ SP Ur Storm Sewer
Sink L tfiub C /Al Eject SS Water
Other
FEES: Valuation 14-36 C d, O c� O
Pe Fee Paid Park Dedication
ISSUED BY Date /07,2_ /Y3
Final /O.P. i -8 '7 I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE :2.7 P3
AGENT /OWNER DATE
ADDRESS V c 7). 4 2k) U,-�J
TELEPHONE
o
PL BNII APPLICATION
2 g I DATE T# 6-
ADDRESS
OWNER j'
NATURE OF WORK
NEW RELAY REPAIR y r RIOR
SAN SEW
WATER Bathtub Sump Pump
STORM SEW Lavatory 1!! Ejector
3 Toilet Water Softener
TSPECTION DATE SPE ON DATE 1 Kit. Sink Drinking Fountain
1 ca Siak( other) i.
G Slo. Sink
e W "t- he.ter
Vl Shower Grease Trap
4- Czt -e Floor Drain Local Waste
Laundry Tub Site Drain
l b Disposal WJ Laundr Stand.i•e
'R Dishwasher Catch Basin
V Ol‘ 111---
1 6( ht 7 1.7:--7 2 f-P----
Violation notes on the reverse fide j