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CITY OF OSHKOSH
N2 46438
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
1 9
ADDRESS As' ' /CI
03 PLAN NO.
OWNER L S OJl
DESIGNER Al C �^
USE/NATURE OF WORK A ,t 01 cc/AU 0141)106i.4/9_
(c=.2- ,daV-A A&yie_A)
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
1
PLUMBING CONTRACTOR .`1 A.1v' (X.li(_, ?A
BT ' / WH _ Disp — WSoft — CBasin Z---
Lav Sh _L DW _ DF — San. Sewer
WC _ FDr _L SP _Ur _Storm Sewer
Sink) f _ _L LTub I _ Eject _SS _Water
Other / 4/) dry Si
FEES: Valuation $ ' , J • 4 ° - : rmit Fe. - . ' . CQ T•
e — Park Dedication $
ISSUED BY Date 0 /r-, /.-> Final /O.P. x/•/5'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE. ! ` ' / g L 1 •SPA C., �. 7_ — 75
AGENT /OWNER DATE
ADDRESS
TELEPHONE 0
Plumbing Permit Work Card
Job Address 3194 BELLFIELD DR Perna Num.er -- / __?r" Create Date 07/25/95
Owner RUSCH Contra^tor SCHROEDER & HANSON
^ Megory 410 - Residential- Interior Plan Value $4,600.00
.chtub 1 1 Shower f l 2 Ejector /Grind 1 Dip Well F Prep Sink Grease Trap
Whirlpool Floor Drain 1 1 Water Softner Drink Ftn Sery Sink Receptor
Lavatory 1 f / 3 Lndry Tray 1 1 Local Waste Wait. St. Shamp Sink Other
Toilet 1/ / 3 Lndry Stndp i 1 Clothes Wshr Ice Chest Flr/Wst Sink
Res. Sink 1 1 Disposal Bidet Exam Sink Catch Basin
Bar Sink Dishwasher 1 1 Beer Tap /Soda Sculry Slnk Wash Ftn
Water Heater 1 1 Sump Pump / 1 Dent. Oper. Hand Slnk Urinal
Use /Nature - -
of Work
NSF INSIDE PLUMBING (2 BATH RANCH)
Size Material Type # Conn.Type y
Sanitary Sewer I J0--w" r
ki/it L'r e i — 2-2--9s' 1- Fet,4 2 *
y 1 , /V -a�-s - ?-. &J4I
Storm Sewer R ' 1 1 / I / 3/ or
r 11/ f 5 1 9 . �
....ter Service
Date Type Inspector pprove
s^
0I -- S`G
I1
PIO
$1