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CITY OF OSHKOSH ND 475i5
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG) SIGN 0 ZONING FLOOD PLAIN HEIGHT
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ADDRESS 0 >i S" If.. PLAN NO.
OWNER C- 2 >i 3 ‘I
f
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USE /NATURE OF WORK / e` i
/
7
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation
Class of Const. Occupancy Permit
1
HEATING CONTRACTOR
1 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 ( J
A BT _ WH _ Disp — WSoft — CBasin
Lay Sh DW DF _ San. Sewer
WC — FDr _ SP _ Ur _ Storm Sewer
i — Sink _ LTub _ Eject _ SS _ Water
Other
i
FEES: Valuation $ 0 .6 0 Permit Fee Paid $ / a - ® d
Park Dedication $
ISSUED BY _____________ Date/ ' 7 -2.S`— iY
Final /O.P. i i — / 7 96
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 410 /C /7 -a4 -QS"
AGENT /OWNER DATE
A^
ADDRESS 9‘,(5 i`AJJ v, S f
TELEPHONE
Plumbing Permit Work Card
Job Address 2615 MINERVA ST Permit Number 0000000- 1 Create Date 10/25/95
Own LYNN UANN M SNYDER Contractor OWNER
''ategory 410 - Residential- Interior Plan Value $2,100.00
4htub 1 Shower Ejector /Grind Dip Well F Prep Sink Grease Trap
Whi Floor Drain Water Softner Drink Ftn Sery Sink Receptor
Lav 1 Lndry Tray Local Waste Wait. St. Shamp Sink Other
Toilet 1 Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink
Res
.ISink Disposal Bidet Exam Sink Catch Basin
Bar Sink Dishwasher Beer Tap /Soda Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Use /Nature
of Work
INSTALL BASEMENT PLUMBING
I Size Material Type # Conn.Type
Sanitary Sewer r
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wrie if
Storm Sewer
U /4i / a / Y5
. —ter Service
r ((- 17-9,6
Date Type Inspector Li Approved