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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
09870
TYPE:
BLDG D HTG D ELEC .Ql(PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
Ale
r
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
cSC[c!-:/
Fixtures
New D Change D Temp D Type _ Volts _ Amps _ ~
Switches K, Receptacles CI'CU;~ / ~
Electric Servo
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
jI.
Permit Fee Paid $ t;... o-v V
Date % -/>,-- grr
Park Dedication $
Final/O.P. !:f -/5" ~ g- r
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
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DATE
ADDRESS
TELEPHONE #