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CITY OF OSHKOSH N ° - 47728
` PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (9810 /1f) (; /G�/{s P1. PLAN NO.
OWNER ' D • i1 . ' .. - u)
DESIGNER
USE /NATURE OF WORK 1 • - / ' I. 0 f . w i lib i . a d a 1 A • - 1 Imo_
rf196 -4113
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 (fii Of' rs pluA i bj ,
- BT _ WH _ Disp _ WSoft _ CBasin
Lav I Sh _ DW _ DF — San. Sewer
-J_ WC _ FDr _ SP _ Ur _ Storm Sewer
— Sink _ LTub _ Eject _ SS _ Water
Other
FEES: Valuation $ /5 • Permit Fee Paid i02 /
$ Park Dedication $
ISSUED BY Date (°®(-- I T - , - Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE '
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
Plumbing Permit Work Card , A1, 0
Job Address 2810 MONTCLAIR PL Permit Number @0119000 � Create Date 07/28/95
Owner KRIS D SCHWEBKE & WF Contractor WAITERS PLUMBING
^ ategory 410 - Residential- Interior - Plan Value - zi.S ^ 0 o .14378t1
.thtub Shower / Ejector /Grind Dip Well F Prep Sink Grease Trap
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Receptor
Lavatory 1 Lndry Tray Local Waste Wait. St. Shamp Sink Other
Toilet / Lndry Stndp Clothes Wshr Ice Chest FIr/Wst Sink
Res. Sink Disposal Bidet Exam Sink Catch Basin
Bar Sink Dishwasher Beer Tap /Soda Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Use /Nature
of Work
INSTALL BASEMENT BATHROOM FIXTURES ON PREVIOUS ROUGH -INS
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
...der Service
Date Type Inspector Approved
k 1 2 .d - -S5' - -