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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
00299
TYPE: BLDG D HTG D ELEC tse' PLBG D SIGND ZONING FLOOD PLAIN HEIGHT
~~~R-E~~ - - - - - - - - - - - - - - - ) Y70 - ~-C ~ - - - - - ~~~ ~~.- - - - - - - - - - -
OWNER ~ ~~
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
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New4/ Change D Tem'p D
Fixtures V_ Switches ~ Receptacles
Volts l;h i-flJ Amps , (jO
C;rcuits IC ~ !
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
Park Dedication $
l? t Final/O.P. r - } - i't
ISSUED BY
In the performance of this work I agree to perform a I work pursuant to rules governing the described construction.
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SIGNATURE
DATE
ADDRESS
TELEPHONE #
PERMIT NO. t9 e ?- 9 J . . APPL. DATE (' - 7' -25~
ELEC. CONTR. &~;; d~--~
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OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYPE '] - i..{......
FI X I S 0( - SW I S
APPLIANCES
CHANGE
VOLTS / ~:?- 1-(0
RECEPT"'"'S .. .~
TEMP.
AMPS/dO
CII~C' sK
$ I GNS
INSP. ROUG
EST. COST
REMARKS