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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
14675
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ADD~ESS /4/ -3 {JJ. ;-.:sýj. PLAN NO.
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USE/NATURE OF WORK 4 I c-
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OWNER
DESIGNER
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~ ~
Fixtures
New D Change D Te':Y D Type - Volts - Am;s -----
Switches V Receptacles Circuits""--
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Electric Servo
PLUMBING CONTRACTOR
_BT
_WH
-Sh
_Disp _WSoft - CBasin
_DW _DF - San. Sewer
_SP _Ur - Storm Sewer
_Eject _SS _Water
_Lav
_WC
_FDr
_LTub
_Sink
Other
0
/0 ¡I
Permit Fee Paid $
Date ¿? - If - % 9
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Park Dedication $
Final/O.P. Y - t-f- 39
ISSUED BY
In the performance of this work I agree to perform all work pursuan: :0 rules governing the described construction.
SIGNATURE ~-
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AGENT/OWNER
;7/9 IF:?
/ ..6ATE
ADDRESS
TELEPHONE #
ELEC. CONTR.
PERMI-i NO. /
SW'S
/¿:u
~£?-W-
CHANGE
VOLTS
RECEPT'S
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TEMP.
AMPS
CIRC' sex
)
(' ER
ADDkESS
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
rGN
INSP. ROUGH N
EST. COST
REMARKS
NEW
o~
SERVICE
PERM T FEE
. FINAL -'f-íf
, ¿,.;--DATE PD.-'
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