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CITY OF OSHKOSH
N2 46441
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG A SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 31I "T ok 16.17 /H PLAN NO.
OWNER Pisa te,K
DESIGNER
USE/NATURE OF WORK OriAallf 6Deitiyyt 1 1'1
c2 1h i/- S-hr-ry j
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 _.XrandMthk)___L)/ISM
1 BT WH _L Disp WSoft CBasin
I Lav Sh DW DF San. Sewer
a WC __I_ FDr l SP Ur Storm Sewer
_L Sink i LTub i Eject SS Water
Other WA l r// 9.6/
FEES: Valuation 0 Permit Fee Paid —.41/- 10 Park Dedication
ISSUED BY 40 010 111111PIPP-
Date --7. 7 Final/O.P. 9 O 'w
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE --.09dM (Y--"' d `QD z___,,
AGENT /OWNER DATE
ADDRESS
TELEPHONE
Plumbing Permit V ork Card `/j
Job Address 364 WINDINGBROOK DR Permit N: m J be�r 0000000 �o 4. Create Date 07/26/95
Owner MILT FISCHER Contractor SCHROEDER HANSON
"tegory 410 Residential- Interior Plan Value $6,900.00
.thtub 1 Shower 1 1 Ejector /Grind Dip Well F Prep Sink Grease Trap
Whirlpool 1 Floor Drain f 1 Water Softner Drink Ftn Sery Sink Receptor
Lavatory it/1 4 Lndry Tray Local Waste Wait. St. Shamp Sink Other
Toilet 111 3 Lndry Stndp 1 Clothes Wshr Ice Chest Flr/Wst Sink
Res. Sink 1 Disposal 1 t Bidet Exam Sink Catch Basin
Bar Sink Dishwasher 1 Beer Tap /Soda Sculry Sink Wash Ftn
Water Heater 1 Sump Pump 1 Dent. Oper. Hand Sink Urinal
Use /Nature
of Work
NSF INSIDE PLUMBING
(2 BATH 2 1/2 STORY)
Size Material Type Conn.Type Va' Y F
Sanitary Sewer
t a K(S
Ci'ff
Storm Sewer
....ter Service
Date Type Inspector U Approved
Vk G 6/0 3 /2
12 1 7/07s-
F 9 55'
r- ,07�^ s