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CITY OF OSHKOSH N 38537
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGA SIGN ZONING FLOOD PLAIN HEIGHT
3 5LC
ADDRESS r s �A 1 PLAN NO.
OWNER
WNW
DESIGNER �4
USE /NATURE OF WORK 4 I/ -C� 6
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 X E=
BT WH Disp WSoft CBasin
Lay Sh DW DF _I San. Sewer P C WC FDr SP Ur _L Storm Sewer V i% v C
Sink LTub Eject SS f Water C 't.---
Other
FEES: Valuation 3 d d 0 Permit Fee Paid Park Dedication
ISSUED BY Date .3 7X Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C 2/7- 3 3
AGENT /OWNER DATE
ADDRESS fr CY
4s1-12-rez s'�'� 7 5'"
TELEPHONE
V ING PENNIT APPLICATION
PERT# 3'r 3 7
?ADDRESS /..m. L DATE
OWNER _I A' ER I 4 411....
NATURE OF WORE Ns 1
NEW RELAY REPAIR RIOR
SAN SEW 4 11 T
WATER 0 Bathtub Sump Pump
STORM SEW 41° Lavatory Ejector
Toilet Water Softener
NSPECTION DATE INSPECTION DAZE Kit. Sink Drinking Fountain
Sink(other) Urinal
Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side