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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
05138
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ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst.
HEATIN'G CONTRACTOR
,Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
Electric Servo
Fixtures
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_WSoft
_CBasin
_San. Sewer-
_FDr
_DW
_SP
_DF
_Lav
_WC
-Ur
- Storm Sewer
_Sink
Other
_LTub
_Eject
_SS
_Water
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Date ¿?'-;:¿? -(5 7
Park Dedication $
Final/O.P. ~-"ð7
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
C~L,p~R
DATE
ADDRESS
TELEPHONE #
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PERMIT NO.
051311 ,APPL. DATE )"'-/'-%7
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ELEC. CONTR.
OwNER
ADDRESS
NATURE OF WORK
CHANGE
VOLTS 1:>-
RECE 's
"
TEMP.
AMPS It! d
CIRC'S
SIGNS
INSP. ROUGHI
EST. COST
REMARKS
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SERVI
PERMIT FEE
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