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CITY OF OSHKOSH N9 42498
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG' SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS RI
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK 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
i I
PLUMBING CONTRACTOR
I BT __l WH Disp WSoft C Basin
j Lav Sh DW DF San. Sewer
WC I FDr SP Ur Storm Sewer
I Sink .__.Ib (1J Eject SS Water
Other
FEES: Valuation 7 3 D O
Permit Fee Paid 7/ f y Final /O.P. 4.2. 30 Park Dedication
ISSUED BY 7 q
Date `t`
In the performance of this work I agree to pert rm w pursuant to rules governing the described construction.
SIGNATURE r
,Q AG ENT /OWNER DATE
ADDRESS S 67) 17,. ��✓l/e._/2 1.0V v J 6 D,S
4,7 3C) TELEPHONE
PERMIT APPLICATION 5■
ADDRESS. 1 7/ 7 DATE K PERNIT# X2 9,
OWNER
PLUMBER S� lV
NATURE OF WORK /t
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER t Bathtub I Sum. Pu
STORM SEW Lavatory 1 Ejector
Toilet Water Softener
e ON DATE INSPECTION DATE Kit. Sink Drinkin• Fountain
Sink(other Urinal
1 Waterheater Slop Sink
Shower Grease Trap
1 Floor Drain 1 Local Waste
7 6/ Tub Site Drain
(S Disposal 1 Laundry Standpipe
K 6 1 _(Dishwasher Catch Basin
I� 1 Fii,vgvyx-
y, ee 3 iii V OAK
-fin notes on the reverse sicr
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