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N°_ 36575
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Rd SIGN ZONING FLOOD PLAIN HEIGHT
i
ADDRESS /.2-22-- V V PLAN NO.
OWNER
DESIGNER �1
USE /NATURE OF WORK /1 F K 1-2.--;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 El Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT _L WH Disp WSoft CBasin 4"
Lav r Sh DW DF San. Sewer
WC t FDr SP Ur Storm Sewer
Sink
--fib 4C Eject SS Water
Other
FEES: Valuation Permit Fee Paid 0 0 Park Dedication
ISSUED BY Date 7// 3 Final /O.P. /6'. `25/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE x /()—L.7 3
AGENT /OWNER DATE
ADDRESS /5 �s4 CI 497 730
TELEPHONE
WING PERMIT APPLICATION Sao
i �i DATE 3 S.- /7/ RAT# 6S S
7
OWNER
I: ER
NATURE OF WORK i ...5f iq i
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RELAY REPAIR NEW INTERIOR
SET; 1111111111.111111111111 rtw.....__111.IIIIIIIIIIIrl
WATER -1111
-E -u,. Pu
4
11 Ejector
*If DATE INSPECTION DAZE Water Softener
Sink ot Drinkin• Fountain
t/ 1 I tl' t/ Slo. Sink
e-se Trap
Floor Drain Local Waste
rS Laundry Tu.
In Site Drain
F Disposal MI Laundr Stand.i.e
'II Dis.washe WI Basin
ie M ANW
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