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CITY OF OSHKOSH N
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGX SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 6 PLAN NO.
OWNER e
DESIGNER
T
USE /NATURE OF WORK /u
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 li
ff v
Lav Sh DW DF San. Sewer 1` ,,"7 C
WC FDr SP Ur Storm Sewer Kff/�✓1 C
Sink LTub Eject SS __4- Water 4
Other
FEES: Valuation Y OC) Permit Fee Paid -s 0
Park Dedication
ISSUED BY ,A/ Date t71"1- l 7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE t ^Z %G .�'�H 2 '�va g o 5 7 -7
AGENT /OWNER DATE
ADDRESS 7 c��� V° Z y �l 44 r /Y— 3 3S 7S— TELEPHONE
K
MB i; mer APPLICATION
ADDRESS A DATE 3 °9 PE T
OWNER r_ a�
Alr NATURE OF WORK r f.f.
NEW RELAY REPAIR IRI
SAN SEW WATER Bathtub Su Pu /PV
E
STORM SEW Ejector
Lavatory J
Toilet Water Softener
INSPECTION DATE INSPECTION DATE 'Kit. Sink Drinkin g Fountain
$ink(other) Urinal
/'v .5 7 S 3/)-$ 9 W aterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse sidel