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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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08454
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ADDRESS IS 5> RCI1AeD PLAN NO.'
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OWNER
DESIGNER
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H~ight
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Park Dedication' $
Final/O.P. 1S' L is' - 8'21
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In the performance of this work I agree to perform all work pursuant to rules governing the described construbtion.
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USE/NATURE OF WORK
KIT
H OUlS..c
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
E ~E< .
ELECTRIC CONTRACTOR
Electric Servo New ~ Change D
Fixtures X Switches)(
mps ;::/60
X.
Temp D
Type _ Volts
X
Circuits
Receptacles
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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Permit Fee Paid $
ISSUED BY
Date
SIGNATURE
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ADDRESS
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TELEPHONE #
ADDRESS
NATURE OF WORK
TEMP .1
AMPs;l'oo
CIRC'S~
PERMIT NO.
ELEC. SERVo
DESC. TYPE
FIX'S /~
APPLIANCES
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS