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CITY OF OSHKOSH N9 39109
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS •/O
"7 PLAN NO.
OWNER
DESIGNER
U
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SE /NATURE OF WORK /1� C --e--
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 if 7-7--- n- "Z
BT WH Disp WSoft A
CBasin
Lav Sh
DW DF r San. Sewer li C
WC FDr SP Ur Storm Sewer ‘i" f/ C
Sink LTub Eject SS I_ Water
Other
FEES: Valuation d 0, o Permit Fee Paid 7 o 6 0
�G Park Dedication
f'i
ISSUED BY Date
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE '/��s0,.? 07 S--
AGENT /OWNER J
DATE
ADDRESS P v (iei-e- h!1t.P.e2I''. .Q. Gr.: se'F-9,6 5' -I, 75—
TELEPHONE
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PL'1 1.ING PERMIT APPLICATION
ADDRESS L! DATE 9 /P 7/G 9
OWNER /i�� L PLUMBER r i .44
NATURE t WORK
NEW RELAY REPAIR INTERIOR
SAN SEW 1/
J TER Bathtub Sump Puup
r y 0 Lavatory Ejector
Toilet Water Softener
INSPECTION DAZE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
j
Waterheater Slop Sink
i Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
.4.4. Di s hw asher Catch Basin
X/5'00- o
Violation notes on the reverse side]