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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
08396
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USE/NATURE OF WORK
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PLAN NO.
ADDRESS
OWNER
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DESIGNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class at Canst.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System Heat Loss
ELECTRIC CONTRACTOR -#
Electric Servo New D Change D Temp D Type - Volts - Amps-
Fixtures fX Switches rX Receptacles D<" , Circuits -~
BTU'S
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PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Dlsp
_OW
_WSoft
_OF
- CBasin
- San. Sewer
_Lav
_Sink
Other
_SS
- Storm Sewer
_Water
_WC
_FOr
_LTub
_SP
_Eject
_Ur
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Permit Fee Paid $ /,
Date 5' -;;¿J-f - 'F'<¿'
Park Dedication $
FinailO.P.
ISSUED BY
In the performance of this work I agree to perform ail work pursuant to rules governing the described construction.
SiGNATUREWA.4. f?~ ~~
ADDRESS 1t/33 Ú'/ 3 ~ ~
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TELEPHONE #
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PERMIT NO. ø 739' t
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ELE . CONTR.
OWNER
ADDRESS
NATURE. OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S IX-
APPLIANCES
NEW
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CHANGE
VOLTS
RECEPT'S
.:x....
TEMP.
AMPS
CIRC'S K..
SIGNS
INSP. ROUGHIÍ'I (!)^>t~-~';I-¡¡7 SERVICE FINAL
EST. COST J ðð'.:;....-- PERMIT FEE I._y:: DATE PD.~ -:J.'f-'?;J'
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