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CITY OF OSHKOSH N° 36971
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g SIGN ❑ ZONING FLOOD PLAIN HEIGHT
„ZS-- ADDRESS
f� PLAN NO.
OWNER - aV •
DESIGNER Q
USE /NATURE OF WORK /VS R. - 1 +
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 1( 6`f--
BT WH Disp WSoft CBasin
- Lav Sh DW DF _L San. Sewer e-f o
- WC FDr SP Ur 1 Storm Sewer 7 I V e
Sink LTub Eject SS L Water /
Other
FEES: Valuation $ -3/- 0®G - o (3 Permit Fee Paid $ 3 O - o Park Dedication
ISSUED BY Date 1V/V7 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE = 0 A 'l c � d�,� /J' --9 73
AGENT /OWNER DATE
ADDRESS P S /,,- c'y/ 44 e-,t-e-rc.r„„e < 4° 5r 7 f
TELEPHONE # •
•
ADDRESS ;2-5-7'° f'
PLUMBING G PERrIT APPLICATION 3 i ..v 5e6
OWNER 6- • 0 DATE 3
Tt1RE of WORE /Vs .,--- -- - !� ...: ER PERMIT. -�� 7/
i
• +CATER �w C REPAIR * RIM �...� e
- == Bathtub S
um. ru
DATE Ejector
�� �/�p 4
INSPECTION luxe 1111111 Eat. Sin Water Softener
- 4 - Cee- / /J = Sia other Drinkin • Fountain
�'`� X2ry ... Slo. Sink
Mill Floor Drain -_ G e- Se Tra.
MI Laundry Tu. Local Waste
1111 Dis.osal NI Site Drain
111 11 Dishwashe Laundr Stand.i.e
- Catch Basin
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