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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14187
TYPE: BLDG D HTG D ELEC)8( PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT
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OWNER ~vrJ S /tt5( t7~~t-~
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 Servo
New D Change D
Switches
TYP~ Volts t :.'OAmps&O
Receptacles
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ELECTRIC CONTRACTOR
Fixtures
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_ CBasin
_Lav
_DF
_ San, Sewer
_WC
_FDr
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
FEES: Valuation $
ISSUED BY P':.
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Park Dedication $
Final/O.P. & -;:2 1) - ?9
,
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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DATE
4!Z6 - 2l 2::5
TELEPHONE #
OWNER
-
PERMIT NO.
E C. CONTR.
ADDRESS
NATURE OF WORK
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~~C. SERV.
o C. TYPE
FIX'S
APPLIANCES
NEW
? l.- 0V
SW'S
u.d;2 CHANGE
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RECEPT' S ex
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TEMP. f><
AMPS &. &
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