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N2 38547
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 4/ PLAN NO.
i 06 ...?_z i 7 2-
OWNER
DESIGNER
USE /NATURE OF WORK /(0 v
(..1.,..
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 ii Ca'
BT WH Disp WSoft CBasin
Lav Sh DW DF _L San. Sewer 57,G/ C. WC FDr SP Ur _L Storm Sewer /tj C
Sink LTub Eject SS _L Water 1
Other
FEES: Valuation (7/6 d Permit Fee Paid 3 c a Park Dedication
ISSUED BY 4 Date Final /O. P. 32 191
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C,.fxi 4 .r..00 ,23 S cg /d -Pr
AGENT/OWNER DATE
ADDRESS 7 f (iL -ze, L0 '2. .5.3 -90 A)' ?775
TELEPHONE
PLUMBING PERM= APPLICATION
ADDRESS /2 Y' GcC zJ., 9 1 RraT#► -des KT
OWNER 14,-m -1 11 oeit, LV P ER Vi) C e t al-
NATURE OF WORM
NEW RELAY REPAIR INTERIOR
SAN SEW 2
WATER Bathtub
Sum. Pu
STORM SEW Li Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinkin Q Fountain
Sink(other) Urinal
yh,/:_c-, 2/2 S ho w G ereater rep eiTk
,Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
i Dishwasher Catch Basin
Violation notes on the reverse sidel