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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
06641
TYPE:
BLDG D HTG D ELEC ff PLBG D SIGN D ZONING - FLOOD PLAIN- HEIGHT-
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DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
# Stories
Height
Occupancy Permit
Class of Const
HEAè:ING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
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Electric Serv. New [J;J..rChange D Temp D Type - Volts - Amps /er-J
Fixtures t-.- Switches Receptacles i-- Circuits ..--
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ELECTRIC CONTRACTOR
PLUMBING CONTRACTOR
_Lav
_WH
_Sh
_Dlsp _WSoft _CBasin
_DW _DF - San. Sewer
_SP _Ur - Storm Sewer
_Eject -SS _Water
_BT
_WC
_FDr
_Sink
Other
_LTub
¿Yo ~rmit Fee Paid $ r ¿J Park Dedication $
DateV-;2;2.--2'7 Final/O.P. 3~,;z<"¡-ð'ìs
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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/ DATE '
ADDRESS
TELEPHONE #
ELEC.
"òWNER
EC. SERVo
D C. PE
FIX'S
APPLIANCES
NEW
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/
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CHANGE TEMP .
VOLTS ~ ::? CJ AMPS
RECEPT S CIRC'S
D
" ADDRESS
NATURE OF WORK
v
SIGNS
INSP. ROUGH N ~fO'
EST. COST (JJ {J
REMARKS
SERVICE 1()-~"l-"1FINAL;7--<'Ý-~
PERMIT FEE ¿J DATE PD ,2z-õ7
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