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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13792
TYPE: BLDG D HTG D ELEC ~BG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS 1 e: I &
OWNER L (J LA.! e ;/
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PLAN NO.
DESIGNER
USE/NATURE OF WORK
R LV Is
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c i~, VJ Pl-R_. P CU1- {i I'
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
h'aat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR)1 5/ Elf c Tv /c
.
{ (}v# .
I
Electric Servo New D Change 0 Temp 0 Type_ Volts_ Amps_
Fixtures ~ Switches i.----- Receptacles C-- Circuits
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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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c:: Permit Fee Paid $ .
Date tf -/3--'%;7
Park Dedication $
Final/O.P. & -/.J -87
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~A/ h<<./-"A
.~ AGENT/OWNER
ADDRESS
& ~/ :) ._g i
DATE
23/-0707
TELEPHONE #
PERMIT NO. I J 7 1:2. . APPL. DATE 'I-~b -0-9
=~ CONTR. Yff~
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ADDRESS
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYPE
FIX.S SW'S
APPLIANCES
CHANGE
VOLTS
RECEPT'S
@I
TEMP .
AMPS
CIRC'S
SI'GNS
NSP. ROUGH N
..E T. COST ()-
REMARRS
SERVICE
PERMIT FEE
<: =.-:-
FINAL - -
DATE PD. 'j-,