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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
01088
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OWNER
/9~O'
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
~~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D Ale D Vent D Fuel/System
Heat Loss
BTU'S
Electric Servo
/,2..0 L-Y-o /. d ~
New D Change D Temp D Type _ Volts Amps ~ . C.
)<. Switches ~ Receptacles r-- Circuits X ~
ELECTRIC CONTRACTOR
Fixtures
PLUMBING CONTRACTOR
_WC
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
~Lav
_WH
_Sh
_ San. Sewer
_BT
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
'"
ISSUED BY
Permit Fee Paid $
Date
/
!)() Ofl- v/
0-;;Z"7-%6
Park Dedication $
Final/O.P. / () ...,2 1../ -< 8 ~
.... FEES: Valuati
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR;;(?~ ~~
NT! WNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. tJ / cJ g g- . APPL. DATE Y---I J-f ~Yb
ELEC.CONTR.~~~.... · ..... i.
.:;:55. .>>~ ~j~
- NATURE OF WORK ~. . ~
. ../ ...... ...
.. ~ TEMP.
~ r- V AMPS /00
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