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CITY OF OSHKOSH N° 33453
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ) ] SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6a/ ..„1„er PLAN NO.
OWNER ,,- 6:e
DESIGNER �/ Q
USE /NATURE OF WORK // s-E-" `
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 ) -
BT _L WH isp WSoft CBasin
3 Lav Sh DW DF San. Sewer
2. WC L FDr L SP Ur Storm Sewer
_t_ Sink _ LTub /J Eject — SS Water
/
Other / — L 1) ,G 6,,.. ' il—yr
FEES: Valuation ( O 3 � 1- ---s -- 1 -0 19 6 0 , Z 7 6
$ P erm i t F ee Paid $ Park Dedication $
ISSUED BY 44 Date Y L.— l Final /O.P. g //a/92
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /!, A # Gks a 4 // y 19
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS, / 60 / R -� f DATE V` Y- s 3 PERMIT# . 3 3, x 3
OWNER -- `c. C‹ „, /1.--,...
PLDMELB / ' P /-
NATURE OF WORE 4/5,-- - e ,,,,, it i c
NEW RELAY REPAIR INTERIOR
_- SEW # #
"ATER Bathtub AI Sul Pu
3 Lavato t Effector
3 . ?oiler /I Water Softener
INSPECTZON DATE INSPECTION DATE / Eat. Sink / Drinkin a Fountain
` �
. d 1 '_.5 1 Siak(Other) Urinal
— C 1 �'t� � ` ma
0, / Waterheater / Slop Sink
W , -4✓ i Ai
i - c' ` �u / ( Z Shower Grease Trav
Lf , / 1 — C e / Floor Drain / Local Waste
/�/ J Laundry Tub Site Drain
A Q t� �� / I Disposal / ( Laundry Standpipe
/
LA (,--n ,l 5 / / - / -� ' ' / Dishwas er / C- tch Basin
r/ S 0 .-�- _ i 0,1
** Violet' on otee on the reverse side /0-
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