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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
07348
TYPE: BLDG D HTG D ELEC M PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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,
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PLAN NO.
ADDRESS
DESIGNER
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USE/NATURE OF WORK
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 Servo . New g Change D Temp D Type ~ Volts I~() Amps / ~ d
Fixtures ~Switches ~eceptacles c:..----Circuits c
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PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
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t:fJ Permit Fee Paid $ /t9t9.----V
Date _7 '-- // -25 g
Park Dedication $
Final/O.P. / - / y--g" g'
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i2~C;;;d2~1 :;11?i'
ADDRESS
TELEPHONE #
ADDRESS
NATURE 0
PERMIT NO.
ELEC.
OWNER
TEMP.
AMPS tJ ()
CI~C'S .~
SIGNS
INSP. ROUGH
EST. COST
REMARKS