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CITY OF OSHKOSH N° 39048
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG1 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS -...2-ei 3/ 2
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /1/5/
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat p 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 0 --C- ET
BT WH Disp a/ WSoft CBasin
Y Lav
Sh DW DF San. Sewer 4�
WC FDr SP Ur Storm Sewer �d
Sink LTub Eject SS _L Water �-c.--
Other
FEES: Valuation o 0 6 Permit Fee Paid 6 0 m 1
Park Dedication
ISSUED BY d l Date 1 2-7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 2,....t. „zit �57
AGE ER
DATE
ADDRESS
TELEPHONE
rte(
PLUMBING PERMIT APPLICATION
ADDRESS. e 3 R DA V 9 PERNZT# 290 z.
r d V
OWNER A, 1 .,:.4:
NATURE OF WORK /S/ 0 A
NEW RELAY REPAIR a w BI OR
SANSEW 1 1 C
WATER G.-- Bathtub Su P uma
w. ;4 A, Lavato E "ector
Toilet Water Softener
;t�• sly ON TE INSPECTION DATE Kit. Sink Drinkin g Fountain
y Sink(other) Urinal,
J4aterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side]