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CITY OF OSHKOSH N 35692
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS '2 o/ 1v
PLAN NO.
(7
OWNER w E
DESIGNER //1/5/:—
USE /NATURE 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 L
BT WH Disp WSoft CBasin
Lav Sh DW t
DF r San. Sewer C
INC FDr SP Ur I Storm Sewer P V C--
Sink LTub Eject SS Water
Other
FEES: Valuation v 611) Permit Fee Paid 0 0 'T 4/
Park Dedication
ISSUED BY Date -;/Y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
o p
rfv,�
AGE ,04 ER
DATE
ADDRESS
TELEPHONE
>o/
PLUMBING PERMIT APPLICATION
ADDRESS, o 3 2 /8
DATE PERMIT 5-6. 7 2
OWNER E E
NATURE OF Waal 4V S Q 1
NEW RELAY REPAIR v BIOR
SAN SEW I k i JC
W WATER
FORM SEW t f L Bathtub Sump Pump
Lavatory Ejector
Toilet Water Softener
ME= ON DATE INSPECTION DATE Kit. Sink Drinkin Fountain
Urinal
Waterheater Slop Sink
c /,kt Grease Trap
J S S V 8 3 o lot
Floor Drain
Laundry Tub Local Waste
Site Drain
letr Disposal Laundry Standpipe
/6 Dishwasher �...I Catch Basin
Violation notes on the reverse sides