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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
20763
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ADDRESS tJ Ç-O in. Lfi-i Au'2- PLAN NO.
OWNER ,,~f( PaJJcL
I
DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR S <ïc k ¿
Electric Servo New D Change D Temp D Type - Volts - Amps-
Fixtures .X- Switches Y Receptacles ':>.;-- Circuits y
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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
DO. CTD
Permit Fee Paid $ S;Z;.f5?J'/
Date / tJ -- / 5' ~f:2?
Park Dedication $
Final/O.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE_-JL~---«¡ ¿r:7:ck,
¿ AGENT/OWNER
16-/Ç-1o
DATE
ADDRESS
TELEPHONE #
PER"" NO. ;;¿ Ó 7 ?:; .~ --;fT-? 0
ELEC. CONTR. ~ '
OWNER' ~~ - ,/ ,
ADDRESS t/ ¡; .5 ¿f - v.. ~ i #,
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYP;
FIX'S {.'-...SW' S
APPLIANCES
CHANGE
VOLTS
~. RECEPT'S
~
TEMP.
AMPS
CIRC' S P<:....
SIGNS
INSP. ROUGHIN
EST. COST /5' ¿Jt1 v --
REtA.ARKS
SERVICE FINAL
PERMIT FEE þcJò:,;;--- DATE PD.ld- :5-11}