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CITY OF OSHKOSH N° 18648
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 284%7,3 r/742 NO.
r OWNER t - 1 II I1
DESIGNER 2�
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USE /NATURE OF WORK 1 et,r. ,f'T // "7Z--aln 4L
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BUILDING CONTRACTOR "'
Size Sq. Ft. # Rooms # Stories Height
I Foundation ' '
Class of Const. Occupancy Permit
1
HEATING CONTRACTOR Lt 8!
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Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss I` BTU'S
ELECTRIC CONTRACTOR 'i
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
J.
Fixtures s Switches Receptacles Circuits
PLUMBING CONTRACTOR . er li
-ZBT WH f Disp WSoft 1CBasin
3 Lav ' Sh ' DW DF !S an. Sewer
3 " s
WC �1 4_ F Dr A S P Ur Storm Sewer
Sink 4 L' Eject SS : Water
Other e ii
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FEES: Valuation $ lll1/ Permit Fee Paid $ L, 6 Park Dedication $
ISSUED BY %� Date —2 '��`7C7 Final /O.P. /a - 3 `t'l
In the performance of this work I agree to perform all work pursuan::o rules governing the described construction.
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SIGNATURE J 1A..�� (0. aZ �/ ` ` s 2'1-1 0
AG
GENT /OWNER 3 DATE
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ADDRESS
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7
TELEPHONE #
PLUMBING PERMIT APPLICATION ,
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ADDRESS
-7r=2,,,,,. Afll// 7 1 (3/7 it^ DATE p0 PERMIT # ( X?
OWNER Z 6 -e.g.-7 ye L, PLUMBER (A/07
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NATURE OF WORK P �.� ��
1 ^, 1
NEW RELAY REPAIR INTERIOR
SAN SEW ' # r #
WATER 2 Bathtub / Catch Basin
STORM SEW 3 Lavatory CIl Grease Trap
3 Toilet //j / Sump Pump /
INSPECTION DATE INSPECTION DATE / Kit Sink / Local Waste
l� / , Sink(other) Site Drain
� 51 f/ 7 / ` f Shower / J Laundry Stand pipe/
� :. / Floor Drain / Laundry Tray
Kr t Cev-e2 - + ' '% 3 /� 9-'2.- / Disposal 1 Wat. Softner
1 it / Dishwasher/ D. Fountain
F /,-2 ` 3 / - / / Water Heater/ Ejector
f Urinals Future outlets
I ** Violation no es on reverse side(
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