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CITY OF OSHKOSH N 37907
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG I f SIGN ZONING FLOOD PLAIN HEIGHT
2- G' g3
ADDRESS i PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK r �(iz- 3 Z
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 El Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 'u P-7--5
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 /60. Permit Fee Paid o Q Park Dedication o
ISSUED BY Date '/V5 Final /O.P. 9
In the performance of this w•rk I agree to perform all wor ursuant to rules governing the described construction.
SIGNATURE J ,,,,,i .2- 99
AGES T /OWNER DATE
ADDRESS _ALt.,9 in. 1 4�//�/�] 5 2 3C./ 0
TELEPHONE
11. L PERMIT APPLICA ON
ADDRESS 2 3 %r DATE 7 RIFT# 37907
OWNER I
2 P
NATURE OF WORK �--..g__ r 3,43
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
F Waterheater Slop Sink
j am Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
�.p.i. Dishwasher Catch Basin
Violation not on the reverse side]