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CITY OF OSHKOSH N°- 40793
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG J J SIGN ZONING FLOOD PLAIN HEIGHT
R
ADDRESS i 0
A PLAN NO.
OWNER __s i ,c2.
DESIGNER �f/�
USE/NATURE 0 �=:�tr1-
URE OF WORK
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 i 5.-2
BT WH Disp WSoft CBasin Gt �'l✓
Lav Sh DW DF San. Sewer 47'" V C
_WC FDr SP Ur _Storm Sewer �p
Sink LTub Eject SS Water
Other
FEES: Valuation 700 C5 Permit F .3--- ca a
ee Paid Park Dedication
ISSUED BY______------ Date /S fG Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �e °c.W 6J B oa 3 0?7e -f/
AGENT /OWNER DATE
ADDRESS g 2 y S ...4• c s--i C M) gg'2
TELEPHONE
P IDINC PERMIT APPLICATION �6/
ADDRESS -e:-/-,-._ 6
OWNER a, DATE O RAT# S 77._3
NATURE OF WORE S A a/
R ELAY
REPAIR
WATER �LI
v A. Su
E'ector or
q- eV" 1Zr INSPECTION Water Softener
Drinkin Fountain
e. ter Slo. Sink
Shower Grease Trap
.070 3 1111
III Floo Drain Local Waste
Laundry u. Site Drain
Dis•osal Laundr Stand.i.e
Dishwasher Catch Basin
pint t•• .1. •1t t t