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CITY OF OSHKOSH
N2 37618
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG p(1 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3/13 / ' - i 'D—�- PLAN NO.
OWNER / �/' /
DESIGNER
USE /NATURE OF WORK ,.--
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 1 der
BT WH Disp WSoft CBasin C�
— Lav — Sh — DW _ DF 1 San. Sewer ( i I --
_WC FDr SP Ur _t_ Storm Sewer � D �
— Sink ._ LTub Eject SS J ( /1
Water r `'e-^
Other
FEES: Valuation $ 6- 0 O 3 O Z, i
Permit Fee Paid $ Park Dedication $
ISSUED BY
f 4' (/ / Date K Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE iF . -v
AGENT /OWNER
DATE
ADDRESS g `7"/ - ( G ✓t .t'.n>, -, Q 1-c - c ) -.iv >5-- .
TELEPHONE #
■:)(
• UMBING PERMIT APPLICATION
ADDRESS 3 // _3 - /,./ 1, DATE /-2// 677 3 RIT# . 3?C' 1f-
OWNER ' I� , - — . PLD� .: /T
NATURE OF WORM SP " 0 ,4
NEW RELAY REPAIR • INTE ;4 OR
__ i Qv' C # #
W 1_ R ��ILM Bathtub
IC; AL `T72101 Lavato Ejector
.Toilet Water Softener
t� 4 ON DATE IN • ON, DATE Kit. Sink Drinkin • Fountain
w�0 / O Sink(other Urinal
AP I / / Waterheater Slop Sink
�,... Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
** Violation notes on the reverse side(