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38544
CITY OF OSHKOSH N
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG A SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4%
PLAN NO.
OWNER /W4
DESIGNER
USE /NATURE OF WORK A W 5 f r
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
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer C
WC FDr SP Ur 1 Storm Sewer K c/ C
__Sink LTub Eject SS Water e.„
Other
FEES: Valuation 6 ���Q 0 0 Permit Fee Paid Q' o 1 Park Dedication
ISSUED BY f'!/ Date 3 /3 7
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �Cr f/2'.5 a S 5— r
may
AGENT /OWNER DATE
ADDRESS cr# C, �z.��c,d7� i� S j 0'
r .S2g 39
TELEPHONE
ADDRESS, /015 �l� O PERrQTAPPLICATION 9�
A PERMIT# 8 /7`
OWNER ii <Ci-f P i fir, 4s
NATURE OF WORK /I/ c
NEW RELAY REPAIR
IR RI08
SAN SEW 4
J 1 R Bathtub
y A. Sum. Pu
Lavato Ejector
o Tailet Water Softener
ti ii *Iv ON TE INSPECTION DAZE Kit. Sink Drinkin Fountain
S ink(o thier Urinal
Waterheater Slop Sink
,Shower Grease Trap
,4„?" c Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse sidet