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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04824
TYPE: BLDG D HTG D ELEC D PLBG.s- SIGN D ZONING FLOOD PLAIN HEIGHT
::N:ER~~ - - - - - - - - - - - >j;~Z;BC; - - - - - - - - - - - - ~LA~ ~~- - - - - - - - - - .
DESIGNER
USE/NATURE OF WORK
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,
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
L BT -'-- WH
2. Lav --L Sh
b:wc -I- FOr
-I- Sink -I- Ll'$..
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-I- Disp _ WSoft _ CBasin
Low _OF _ San. Sewer
Lsp _Ur _ Storm Sewer
-L Eject _SS _ Water
Other
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FEES: Valuation $ v ./ Permit Fee Paid $ . Park Dedication $
ISSUED BY ~ Date 0- - ( - 87 Final/O.P. 10 ~tb - i?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
a~ /J J.A~~
d- C ).. L.t'
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
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ADDRESS 17~o Qchorcl CQurf
OWNER ~ck~
PLUMBE~~US l:'~
OUTSIDE
New Rela
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t<later
St. Sew
**Inspection
Date:
tAt 7 V3(~;,?
K.t g (/7 ($?I f.t11 ~oV'-ly
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/o({ (€'l i) /Wwccbvl/lAc-L .
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**Violation notes on reverse side
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...- PERU 1 T (/ (J Y 8-.2.. C;
NATUREOFWORK
INTERIOR
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