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CITY OF OSHKOSH No 39707
PERMIT — APPLICATION- AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑- ZONING FLOOD PLAIN HEIGHT
ADDRESS / 4; / 6
PLAN NO.
OWNER -5/40.-z.„--er„,_ 6e—c,-,e-->.,,,_ Ag-e-14-
DESIGNER
USE /NATURE OF WORK /Y S/ 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 F E eX�
BT WH Disp WSoft _ CBasin t/ /
t
Lav Sh DW DF 1 San. Sewer T P U C
— WC — FDr _ SP Ur Storm Sewer
Sink LTub Eject SS L Water / • -
Other
J
FEES: Valuation $ � .S' ---C) ` C Permit Fee Paid $ 6) ` Q Park Dedication $
ISSUED BY ! Date `S� / , V Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 2011 4/LAPG c w URE i / J /
ADDRESS /WY e?/"Z i 'o ,//.�' 01- 72.5'6
TELEPHONE #
ADDRESS / e'� PLUMBING PEBI= APPLICATION
OWNER -S - _ DATE PEB�T# - 3 � '��'
NATURE OF WORK – Q
1" ^ /
, � = 1 , � RI OS
ETA M R �........
- - -= Su or ��.
� - . E ector ON �• INSPECTION DAZE - Water Softener
I,� / // �� = S other = Drinkin • Fountain
//'� to
Slo. Sink
ci • J+ / A Floor Drain cale Waste
i_ - Laundry Tu. Local Waste
A Dis•osal Site Drain
/ i / C� -O ,` `O Laundr Stand.i.e MI Dishwasher
III Catch Basin
4
i F
!� / / 750