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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECOR[)
N2
01928
~~P_E~ _ _ ~L~~ ~~ _ ~T~ _ ~ _ ~~E?K~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
ADDRESS~' ct:2d~d':. PLAN NO.
OWNER ~ ~~
DESIGNER
USE/NATURE OF WORK
~r
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
Fixtures
Switcnes
Temp k:f Typefi/VOI~AmPS J,g
Receptacles . Circuits ~
Electric Servo
New D Change D
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
9~
FEES: Valuation $ PJ~_ ~ ~ Permit Fee Paid $
ISSUED BY ~~ Date
/
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//'-7-76
Park Dedication $
Final/O.P. 'f" - f -- 'if ~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
~ ~/L.
SIGNATURE ~-<~.~.'
ADDRESS
L'/ ~f6 ,
// DATE
TELEPHONE #
PERMIT NO. D/9" ?-r. APPL.DATE. ~9--/- ~?b
EL C. CONTR. ,,' . ~ .. ..
OWNER
ADDRESS
NATURE OF WORK.
NEW
3 -
~
TEMP.
AMPS
k-CIRC I S .,.1(
IGNS
IN P. ROUGHIN
EST. COST >~.~
REMARKS