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CITY OF OSHKOSH N2 47832
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 95 r7c h 2rf PLAN NO.
OWNER (Darr Dl?Cte
DESIGNER QQ
USE /NATURE OF WORK J4164 4,1rtlitiej (11 / J ,611 An.)15)r) iny gaY
tas f& &4'ir„inni
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 __im � s Th1- hi 9
- BT _ WH Disp _ WSoft — CBasin
- Lav Sh _ DW DF — San. Sewer
1. WC _ FDr SP Ur — Storm Sewer
Sink _ LTub _ Eject — SS _ Water
Other
l
FEES: Valuation $ 6 0 Permi _ _ Paid $ / � C _ Park Dedication $
ISSUED BY Date 7° / S Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /0 / /
AGENT /OWNER DATE
ADDRESS
TELEPHONE
Plumbing Permit Work Card ,.�t3�
Job Address 2570 SHERIDAN ST Permit Number 096 Create Date 10/03/95
Owner GARRY H DECKER Contractor JIM'S PLUMBING
^ategory 410 - Residential- Interior Plan Value 1 `fs'b, o o MEM
..thtub 1 Shower Ejector /Grind Dip Well F Prep Sink Grease Trap
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Receptor
Lavatory 1 Lndry Tray Local Waste Wait. St. Shamp Sink Other
Toilet 1 Lndry Stndp Clothes Wshr Ice Chest FIr/Wst Sink
Res. Sink 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 FIXTURES IN LOWER BATHROOM FOR MARK& LAURA EVELAND
Size Material Type # Conn.Type
Sanitary Sewer
i rd 3 ' ? S
Storm Sewer
...ter Service
Date Type Inspector u Approved