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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
05960
TYPE:
BLDG D HTG D ELEC M PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
PLAN NO.
OWNER
DESIGNER
"'"+-
USE/NATURE OF WORK
?(uJ ~
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 U. . .
Electric Servo New ~~e D Te p D
0/
Fixtures
c.-----" Switches
Type _ Volts _ Amps (?t:)d
c -- Receptacles ---- Circuits ---'
1JP-
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_____Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
ISSUED B
/ .3 O'O'~pe'm;t Fee Pa;d $ .5 t9 ~
Date / ~ -dJO .-$7
Park Dedication $
Final/O.P. ! /-17' 81
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
elL =cE~
ItJ-;{(J -37
DATE
ADDRESS
TELEPHONE #
PERMIT NO. tJJ. S- y ~ 0
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo
D SC. TYPE
FIX'S PL-
APPLIANCES
SIGNS
INSP. ROUGHI
EST. COST
REMARKS
- w- t:?
TEMP .
AMPS .2.0 0
CIRC'S ..~
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