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CITY OF OSHKOSH N° 36940
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g" SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ' z . 3 /IL -.c, PLAN NO
OWNER C 7 -Qy- c
DESIGNER ',, /
USE /NATURE OF WORK S k
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 6
BT WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
FEES: Valuation $ 0 0. 0 0 /0 . b a
j Permit Fee Paid $ Park Dedication $
ISSUED BY Date / //S `Y Final /O.P. ///-& ' 7 Q
3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR -- `,0 _ _ /7" — 9 ' -
AGENT /OWNER DATE
ADDRESS i _ � � G�JS a /
TELEPHONE # •
PLUMBING PERMIT APPLICATION
ADDRESS. /� 3 /(/ S DATE /ice � / PERMIT# 3 690
OWNER a / /
�e ,1/V PLUMBER ��2
NATURE OF WORK / S , ' - vV
NEW RELAY REPAIR INTERIOR
SAN SEW #_ #
WATER Bathtub Sum. Pu ,.
STORM SEW Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
Waterheater Slop Sink
f 1 (//6/7-1 Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
, Disposal Laundry Standpipe
'Dishwasher Catch Basin
** Violation notes on the reverse side