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N° 35870
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG yir SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /./ O Se dT PLAN NO.
OWNER -r C—C
DESIGNER /��
USE /NATURE OF WORK 2- �' �' `(
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
sael
BT 7-- WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
FEES: Valuation ?00 0 a AO • 6 a Y
$ Permit Fee Paid $ Park Dedication $
ISSUED BY Date ���? . Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �/idtt3
AGE T /OWNER DATE
ADDRESS (3 i - 2' ; ' 1 1'7 4 - 8
TELEPHONE #
/� INC PERMIT APPLICATION
ADDRESS, /01-° 0 S- 1♦. -e-e DATE PE&QT# 5-8
OWNER �! l .
PLUMBER . G
NATURE or WORK -2
NEW RELAY REPAIR INTERIOR
SAN SEW # # -
WATER _ "" 11.11111— Bathtub Sump Pun
STORM SEW Lavatory Ejector
Toilet Water Softener
.�. ON DATE - INSPECTION DATE Kit. Sink Drinkin. Fountain
P f � / - � s � ' ? Sink(other Urinal
/ , ?.- Waterheater Slop Sink
1) � y ,,, , Shower Grease Trap
9 Floor Drain Local Waste
,,, D 0, cc...-- o� Laundry Tub Site Drain
' Disposal /
Laundry Standpipe
Dishwasher Catch Basin
N ( / 1 5 2 / Vi'-
** Violation notes on the reverse side]