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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
09208
TYPE:
BLDG~TG D ELEC D PLBG D SIGN D ZONING - FLOOD PLAIN- HEIGHT-
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PLAN NO.
ADDRESS
OWNER
DESIGNER
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USE/NATU
BUILDING CONTRACTOR
t) CV M.Æ'- ¡---
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Class of Const. ð
Height
Occupancy Permit ~
HEATING CONTRACTOR C-
Heat D AlC D Vent D Fuel/System
--
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBiNG CONTRACTOR --
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
- CBasin
- San. Sewer
_Lav
_WC
_FDr
- LTub
_SP
-Ur
- Storm Sewer
_Sink
Other
_Eject
_SS
_Water
FEES: Valuation $.
ISSUED BY
~c...v Park Dedication $.
?~ I ¿ - is'¿s- Final/O.P.
~
Date
all work pursuant to rules governing the described construction.
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DATE
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