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CITY OF OSHKOSH N2 42499
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG /jJ SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 lIt! PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /1/-5F ii..z.v
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 _rcf f7
BT l WH Disp WSoft CBasin
Lav r. Sh ___L DW DF San. Sewer
WC _L FDr I SP Ur Storm Sewer
I Sink _-L-T-ab 4 C Api Eject SS Water
Other
FEES: Valuation s' d o Permit Fee Paid Kg' a 0 Park Dedication
ISSUED BY Date fl Final /O.P.
In the performance of this w k I agree to perform all ork pursuant to rules governing the described construction.
SIGNATURE 2
J Y
C.� AGENT /OWNER DATE
ADDRESS J 7 ../2- 4 .--e /lY.e,tf,,y, ql L) ale j
TELEPHONE N
a
j c ING PERMIT APPLICATION
&DRESS 4 �_:.a�../ DATE 9 4; K Y
OWNER
PURSER it
,,/I
NATURE OF WORK /V
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER 1 Bathtub 1 1 Su a Pu o f
STORM SEW. J. Lavatory (11 Ejector
III1Toilet 1 11 Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink 1 Drinking Fountain
4 Sink(other) Urinal
___L.Waterhe ter f i Slop Sink
1 Shower Grease Trap
L4 1 1 Floor Drain Local Waste
r l Laundry Tub Site Drain
Disposal 1 1 Laundry Standpipe
f 0/ '4 I Dis asher j Catch Basin
Li. Cr F 3/30/
0 t g i� air
won notes on the reverse side{