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CITY OF OSHKOSH N ° - 35662
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 6 9 / PLAN NO
OWNER --
DESIGNER ,�/
USE /NATURE OF WORK /4'' f - „ "
7
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 P
t BT _L WH JDisp WSoft _ CBasin
Z Lav Sh _L DW DF San. Sewer
WC FDr _L SP Ur Storm Sewer
Sink _L 4.T4.13 4C w Eject SS Water
Other
300 o, o a y c . 0 a
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date �� Final /O.P. 10P0`94i.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �f- /1 , .. ,Yi7'7 / 93
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
_ PLUMBING PERMIT APPLE ON /'c)
ADDRESS, i �S ,4f - - DATE g - a G 5 ,,�. T# 3 S Z
�
OWNER -� 4 - ,I.J: a: , A r - - $' / /
SLIME OT WORK / ' '� t �
/
NEW RELAY REPAIR *'w RIOR
SAN SEW # # ,
WATER / Bathtub f f Su I • Pu
STORM SEW z LavatorT Ejector
z Toilet // Water Softener
4_ i* ON I TE INSPECTION DATE 1 Kit. Sink / Drinkin• Fountain
t / _ k/(77-/ / S other Urinal (�' ` Waterheater / Slop Sink
,/T 1 r / Shower Grease Trap
i�. t Floor Drain f Local Waste
f I °/42 � /73 Laundry Tub Site Drain
l
t Disposal / Laundry Standpipe 1
Dish asher o Ca Basil
U fi 0 3 '' il _ T`"_
** Violation notes on the reverse side(