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46) CITY OF OSHKOSH N° 37022
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 02-7..5-/ ,i.,,,e_je-:--e----j .c-c-" PLAN NO.
OWNER
i '-p-7'r—
DESIGNER ,,//
USE /NATURE OF WORK NSft te
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 S V
C BT 1 WH Disp WSoft — CBasin
Y Lav Sh / DW DF San. Sewer
___WC / FDr / SP Ur Storm Sewer
Sink L-L b f} G v.) Eject SS Water
Other
FEES: Valuation $ 3 O _ CC Permit Fee Paid $ T 0 0 Park Dedication $
ISSUED BY Date t /,7- -1 /f3 Final /O.P. 7 P . 5 4
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , , /2 - -1 3 1/ AGENT /OWNER DATE
ADDRESS SCQ 4 2 . 1-1 _! ✓ t � 6 ,/ (...,_ -5 71 93o--0.2-e?-s'
TELEPHONE #
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CA PERMIT APPLICATION �� U
ADDRESS � �% �' DATE l
oR �- PE T# 3702 z
LUMBER - ij `
NATURE of WORE 4/S/4 - - Ft/ - .
REPAIR /. ' � RIOR
7 _
S
III
TATER #
';, A‘ Sump Pump
E'ector
INSPECTION DATE INSPE Toilet Water Softener
� ATE / , Rit, Sink l Drinkin g Fountain
b( C54 ( /3 ti-- ,L Sink(other)
—urinal
Waterheater 4 Slop Sink
r Shower Grease Trap
F 711 f `� / Floor Drain / Local Waste
!!! Laundry Tub Site Drain
Disposal / Laundry Standpipe
Dishwasher Catch Basin
** Vialat+on not on th