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CITY OF OSHKOSH
N 40599
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Jr SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS I ,r-
L
.12.104N-NO l 0 3
OWNER
DESIGNER
USE /NATURE OF WORK /f 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 e!g-..ic--
BT WH Disp WSoft CBasin Lay Sh DW DF f San. Sewer K C
WC FDr SP Ur Storm Sewer r r 0 c
Sink LTub Eject SS Water
Other
FEES: Valuation A S -706 d Permit Fee Paid 3a., O CO p
ark Dedication
ISSUED BY Date �0�
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 14441-7-"XF-°" 702- 97
AGENT /OWNER
395 DATE
ADDRESS ^jlf' /.S l!, 6 7- A ...9.3.j 4 S'/-5
TELEPHONE
L- i /j
1- PERMIT APPLICATION
b
ADDRESS l DATE PERMIT* 7,'2
OWNER NATURE or WORK C7 Ar, r
NEW RELAY REPAIR n
r i
i w BIOR
WATER ((..f�I/ Bathtub Su Pu lull
"•'Y DI. lirWilgall .111 Lavato E•ector
=Toilet Water Softener
A'i DATE INSPECTION DATE Mint. t. Sink Drinkin• Fountain
V V
allSink(other
S T r 2 S q I= 7 W_ e eater Slo. Sink
a -se Tra•
Floor Drain Local Waste
Mill Laundry Tu. Site Drain
all Dis•osal Laundr Stand.i.e
Ell Dishwasher Catch Basin
Violation notes on the reverse side]