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~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
28401
TYPE: BLDG 0 HTG 0 ELEC)Q'. PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS I f I L
OWNER 81/ /
1tl~l!ll f dj
rJ{'Pese~
PLAN NO.
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
C~t?Vl/h
~~r;/L-
Electric Servo
New 0 Change 0 Temp 0
()(
Switches
Receptacles
Type _ Volts _ Amps_
X
Circuits
Fixtures
~
PLUMBING CONTRACTOR
..
_BT
_WH
_Sh
_FOr
_LTub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_Lav
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
Permit Fee Paid $
Date
/5~
5" ~>--.92-
Park Dedication $
Final/O.P. )' '- ~- ~ j? ::z
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ .8. ~
AGENT/OWNER
t
/J/q~/ 5 7?
~ DATE
ADDRESS
TELEPHONE #
PERMIT NO. ;:t 7 ~ . . AP~L. DATE J:I '10-/:2
ELEC. CONTR. e; ~Yl ~ r
VL4/Y? ~~
/ $/ ;J-- - /}ncdt~A ./
~C'?/
CHANGE
VOLTS
RECEPT I S
OWNER
ADDRESS
NATURE OF WORK
SW'S
A
TEMP .
AMPS
CIRC'S
~
. --'
ELEC. SERVe
DESC. TYPE
FIX'S
APPLIANCES
NEW
SI"GNS
INSP. ROUGHIN
EST. COST /0" 0 ~.::.-
REMARKS
SERVICE / FINAL.~-i-f2
PERMIT FEE /~-j~ DATE PO.f'-5"-)'.;z..
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