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CITY OF OSHKOSH No 36239
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG K SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS g 7 A PLAN NO.
OWNER
e„,,i_g__7
DESIGNER
USE /NATURE OF WORK 4/SF 0. ,4
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 'I 6
4 BT WH Disp WSoft CBasin crted
Lay Sh _L DW DF San. Sewer
1 WC L FDr SP Ur Storm Sewer
Sink 1Lk b f7C (,J Eject SS Water
Other
FEES: Valuation 'oC 0 Permit Fee Paid 3 6 0 0
a d Park Dedication
ISSUED BY Date V 0 Final /O.P. ,o� q 3
In the performance of this work I agree to perform all wor pursuant to rules governing the described construction.
SIGNATURE f l /e —3
AGENT /OWNER DATE
ADDRESS -fo n 6C LL .0 73c, —0,1_
TELEPHONE
r PERI= APPLICATION
ADDRESS g` DATE 9 RffiT# 3 &I- 3 9
OWNER 4' i�G P L8 v_ NATURE OF WORK /G'-S g W r
NEW RELAY REPAIR s. RIGS
SAN SEW
WATER Bathtub .L Sump Pump
STORM SEW Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION c. DATE l Kit. Sink Drinking Fountain
tA a900 i Sink(otherJ Urinal CT 0 Waterheater Slop Sink
�0� cL Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
13 'Disposal Laundry Standpipe
Dishwasher Catch Basin
1 u7 t3Za /S
Violation notes on the reverse side(