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CITY OF OSHKOSH No 36885
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGr SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 79 0 R 6 d_r____" / PLAN NO.
OWNER ' /4
DESIGNER
USE /NATURE OF WORK 1142.- – 0 -- ..
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 g-
- BT WH Disp _ WSoft _ CBasin
— Lav _ Sh DW DF f San. Sewer h 'r /U C
WC FDr SP Ur Storm Sewer
Sink _ LTub Eject SS I Water .?- c r
Other
FEES: Valuation $ ( 7 ‘ , 6 06 - d Permit Fee Paid $ CI ' 6 ° Park Dedication $
ISSUED BY Datef///Y
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7„,, ` 3
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
/� PLUMBING PERMIT APPLICATIO
ADDRESS / O ca�( c r -
DATE i/ / q 3 main* 3' (6;'\5.--
OWNER -- ' ` 'i. -
NATURE OF WORK /j/. -rte, ,,2 --e-‘--,--,- _ 0--e------rit
NEW RELAY REPAIR INTERIOR
AN sEW 6 , (/ C
WATER #
r. ■ ,� Bathtub Su . Pu 4
Lavato Ejector
INSPECTION DATE Toilet Water Softener
INSPECTION DAZE Kit. Sink
Sink(other) Drinkin Fountain
Urinal
Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
' Laundry Tub Site Drain
Disposal Laundry Standpipe _
Dishwasher Catch Basin
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