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CITY OF OSHKOSH N 42637
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBlf SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS , ,6 C f / / PLAN NO.
OWNER Z - eiTltfah■
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DESIGNER
USE /NATURE OF WORK ' 5 , -7- L- — - -
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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
1
PLUMBING CONTRACTOR `
BT / WH 4 Disp — WSoft — CBasin �I
_LLav _L Sh ! DW — DF _San. Sewer
�WC r FDr SP — Ur — Storm Sewer
L. Sink J LTub Eject _ — SS —Water
Other - 6 ( Al 1 / - Cr r
FEES: Valuation $ .C Permit Fee Paid $ Park Dedication $
ISSUED BY Date 10 70,./
Z- Final /O.P. r5'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/ ALI 0-
/j _ SIGNATURE 7 / �/ 7V
AGENT /OWNER DATE
ADDRESS 7 j eef' Uoret 'OP, 4,o %401 U 73 i32
TELEPHONE #
C /, PLUMBING PERMIT APPLICATION
ADDRESS 7 ? -67 Q. �c. _ _ RASE . 7'? ( 9 Y pE T# Ko2 C 3 2
OWNER C- ' ' p . 1 .1- ER
NATURE OF W' ; 1 --C - / /
NEW R LAY REPAIR +' ' ' RIOR
z # #
WATER / Bathtub ( Sump Pump
STORM SEW a- Lavatory 11 Ejector
2 Toilet i I Water Softener
INSPECTION DA's INSPECTION DATE / Kit. Sink / Drinking Fountain
Sink(other) Urinal
F 3 / Waterheate 1 Slop Sink
( " , / Shower 1 Grease Trap
//� / Floor Drain 1 Local Waste
12 ('.- P 1 r0 �( l' /�, f1 1/ / Laundry Tub 1 Site Drain
/ Disposal y / Laundry Standpipe 1
Dishwasher Catch Basin
4, / , 7S �. tr
0 $ F P / . „0.-- -'st' i oit
Hares an the reverse side C - , ,-,4/(/i/' 1
1, 9 q5
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TO TIME f DATE
l WILE ¥DU WERE :7�.TT o URGENP 0 Telephoned.
M C ketumed 0 Called to
your { all see you
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PHONE ( ) n
MESSAGE Lt
OPERATOR:
23-024 --400 SETS 23-027 -200 SETS