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38663
CITY OF OSHKOSH N °-
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG jrtf SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 / O sa 6 ,, / PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /t /S / y
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 �e-jC--- ¢ /.�'s -off
4 BT ( WH Disp WSoft CBasin
11
l Lav Sh _L DW DF — San. Sewer
_L WC j_ FDr 1 SP Ur Storm Sewer
__V Sink _ub 4 � t /L Eject SS Water
Other L-W ' .�:�e.A' D1—e'
FEES: Valuation $ a 0. O 6 Permit Fee Paid $ 3 - 0 d Park Dedication $
ISSUED BY d''/ Date 3 029' lcc Final /O.P. 4.4
In the performance of this work I agree to pe orm all work pursuant to rules governing the described construction. / /
SIGNATURE J 3-01.? 1
/'� AGENT /OW ER ^� 7 DATE
ADDRESS t>•5v / 7_ L I z - /11D./ Js Jv •L9 5
TELEPHONE #
/� - ILL INC PERMIT APPLICATION
ADDRESS .310 .S .ID ..,20 /� DATE l - i g7063 •
OWNER 4 ��� '� ...LER " :,.s T#
NATURE OF WORE !-� i ` - � �. � -' /
NEW RELAY Y / REPAIR u ANTE RIOR
SAN SEW # #
WATER ^[ Bathtub /
Sump Pu %�
1 `, A. f Laveto J Ejector
Toilet / Water Softener
IN ECT DATE INSPECTION DATE / Kit. Sink 1 Drinking Fountain C-fLe - 3 // 7 1 Waterheater / Slop Sink
,Shower Grease Trap
e1 -/ 2 ( ,Floor Drain / Local Waste
14 1 3/ / r /7 ,4 Laundry Tub Site Drain
�' l - Disposal / Laundry Standpipe/
. Dishwasher / C Basin
Q \lc— Ci '1 r e ! i ns 1-:' r7s
** Violation notes on the reverse side] r