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CITY OF OSHKOSH N 38671
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS I� �b i ���'V PLAN NO.
OWNER U
DESIGNER
USE /NATURE OF WORK /rte^ h_ 3C 5-.
�7
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 1 f/
,r BT WH Disp WSoft _Basin
Lav _L Sh DW DF San. Sewer
t WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 7� 0 0 Permit Fee Paid f 2
Park Dedication
ISSUED BY Date Y' 7 Y Final /O.P. 2 W
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J 3-01 -1(1
I AGENT /OWNER DATE
ADDRESS 7 i r_.
i r1 1 ik 730 )i.o
TELEPHONE
�',6 I MINC PERM= APPLICATION
ADDRESS 4
OWNER o��� nay 3 `S'' 3� 7(
rtAAZ'QaE of WORE 1 4 240 .5 7-2
NEW REPAIR INTERIOR
SEW 111111111 111
WATER Bathtub
Su b hi le o
-RI Lavato Ejector
ON Toilet
DAZE DATE Xit. Sink Water Softener
Drinkin• Fountain
9� Sink(other
W. te he- ter Sloe Sink
NMI G ease Tra.
t Floor Drain Local Waste
Laundry Tu. Site Drain
Ns Dis.osal Laundr Stand.i.e
MI Dishwasher Catch Basin
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