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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04002
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
C /" (/ yo'tt 5" hblhe.S
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DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR (:11) i1CJOh ~-ra I
t. Heat r, AlC 0 Vent 0 Fuel/System ;1/ -v. "
(0 #J {1 f' q.--
Heat Loss I!J....7 #f/p
BTU'S
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ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
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FEES: Valuation $ P- ~ (/-(J, 0-0 Permit Fee Paid $ /-;;, (/-0 I
ISSUED BY t;f!.-Le 4: . Date 4- / it- / f"7
Park Dedication $
Final/O.P. 7 ~ Ie) - 8"7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ \J~ AG~',",,'"
ADDRESS
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, DATE '
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TELEPHONE #