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41.) CITY OF OSHKOSH N° 31644
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGA1 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS -2-s-0 / W W PLAN NO.
OWNER e._,_„..J e_,,,,,,.,,t-
DESIGNER , /
USE /NATURE OF WORK S k - o� /
AV /'
r '
i
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 --C c=�-a- e. '''� /_ yc J/'
____ r WH Disp WSoft CBasin
?- Lay Sh / DW
DF San. Sewer
° WC / FDr / SP Ur
Storm Sewer
1 Sink LTub Eject SS
�� � Water
�Z�"
Other / _ 4C
FEES: Valuation $ a �a a 0 B B', v d
Permit Fee Paid $ Park Dedication $
ISSUED BY Date / 0 /9 Z Final /O.P. I'd - 41 1 9 - 94
In the performance of this work I agree to pe rm all work pursuant to rules governing the described construction.
SIGNATURE 6.L._ '�
�� AGENT /OWNER / ATE
E
ADDRESS /40' 'alt.e — 73 0 `-OaL o s-
TELEPHONE #
/- DMBING PERMIT APPLICATION
ADDRESS <= - • ,/ d- DATE . g/ VS v PE T# . 3 / 6 S'
OWNER v �
'L� - , 1' `/ V i
NATURE OF WORK -/ F — / /�
s
NEW RELAY REPAIR t.. RI OR
SAN SEW # #
WATER ?- Bathtub ! J Sump Pump
• : A. 7- Lavato ! E' ector
) / ._ Water Softener
INSPECTION DATE INSPECTION DATE 1 Kit. Sink Drinking Fountain
A g / / [� Sink (other Urinal
�`' Waterheater / Slop Sink
�, Shower Gre -se Trap
-1.. /7 - / Floor Drain / Local Waste
Laundry Tub Site Drain
J 1 di y 1/ ) Disposal _(„ Dishwasher I f Laundry Standpipe
Catch
/ � Basin I -1/) Vi 1. _
r f i v'
** Violation notes on the reverse side]