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CITY OF OSHKOSH
N2 39103
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG of SIGN ❑ ZONING FLOOD PLAIN HEIGHT
3//L _4 - f
ADDRESS A o f PLAN NO
OWNER ,
DESIGNER
.......e_e_
USE /NATURE OF WORK /%1 2F " 6
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
all
PLUMBING CONTRACTOR ir
BT WH Disp WSoft CBasin
Lav Sh DW DF C San. Sewer KO C
WC FDr SP Ur Storm Sewer J
Sink LTub Eject SS / Water /
Other
FEES: Valuation $ Arco ,0 U Permit Fee Paid $ T's 6 ' 6 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 ' %e�4gii " ----- -.1- 7 !'r
, AGENT /OWNER DATE
ADDRESS a ..41"1 �
� /� < . " . 74-=
TELEPHONE #
3//z 51 f PLUMB/NC PERMIT APPLICATION
ADDRESS AWY ; 4
OWNER if DATE
d i�. PERMIT# 3 �/C 3
NATURE OF WORE r P , 1 _ ER
'' RELAY REPAIR '
■
WATER ''� - -_�
- -_ Su �. Pu 1,.
DATE IN _ � E'ector
CTION DAZE Water Softener
a ' G c ) ' i i Drinkin • Fountain
= Sink( MI --e--j •. Sloe Sink
IIII Floor Drain e- se Tra.
III Laundry Tu. Local Waste
Dis•osal Site Drain
Dishwasher Laundr Stand.i.e
- Catch Basin
/VT.. /z)
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