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CITY OF OSHKOSH
N2 38662
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3/ PLAN NO.
OWNER 1K / /
DESIGNER
USE /NATURE OF WORK 4' s f
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
iELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
/
PLUMBING CONTRACTOR
C-L-1
/ /�-�<
___L BT 1 WH Disp _ WSoft CBasin
! Lav Sh DW DF San. Sewer
WC _L FDr / SP _ Ur Storm Sewer
Sink LTub Eject _ SS _ Water
Other ( 4 C 4..1
A
FEES: Valuation $ / Permit Fee Paid $ 3g • 0 a Park Dedication $
ISSUED BY Date - '' Final /O.P. S 9 1
In the performance of this work I agree to perform II work pursuant to rules governing the described construction.
SIGNATURE ✓ 01 of .--q‘-(
AGENT /OWNER DATE
ADDRESS r Al / - -1/ - l i� / ' - Uri A - 2,o-c)
TELEPHONE #
6
I . , ING PERMIT APPLICATION
ADDRESS 3 / b / • � _ / � DATE , / / 3S 6 C )--
OWNER '_:,.
_- '/Y3 ��
N A T O R E O F WORE 4 - 5 /r∎ - - . / / /
NEW RELAY REPAIR RIOR
WAio-R # #
71111111111 Bathtub aliramirm Sumo Pu
Laysto / E'ector
Toilet Water Softener
INS ON DATE INSPECTION DATE / . Kit. Sink /
Drinking Fountain
e` l 1 / Siuk(other)
Urinal
f Waterheater / Slop Sink
CX - /kit Loy ;a`/ Shower Grease Trap
2
& 3/�/ /' 1 Floor Drain / Local Waste
// J ' Laundry Tub Site Drain
f YJ.' s f ( , Disposal / Laundry Standpipe / / /' J 1 � Dishwasher / Catch Basin
J1.42 w / Q1 j I g Allir' /S
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