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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
03111
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const..
Height
Occupancy Permit
Foundation
"
HEA'TING CONTRACTOR
.,.. Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~If2WLt( gbcv-JQc0) ,q;;~-
Electric Servo New D Change D Temp D
~ Receptacles
Type_
Fixtures
Switches
Volts _ Amps_
. ~.
Circuits~~
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS ~ Water
Other
Permit Fee Paid $
Date
/
,- A ~V'
,j {/
c7-/;2-%7
Park Dedication $
Final/O.P. 7 -j s -'i1
ISSUED BY
In the performance of
s work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
III jJ.(2 f2 en
fI DATE { I I
ADDRESS
TELEPHONE #
PERMIT NO. 6J
:5 II /7 APPL. DATE ;2 -;2.,{{ - g- 7'
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.!ll!EC. CONTR.
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OWNER
ADD HESS
NATURE OF WORK
ELEC.Sl.'::~V. NEW
DESC. TYPE
FIX'S
APPLt~CES
CHANGE
VOLTS
S #/1<_ RECEPT.'.S
TEMP.
AMPS
CIRC'S ~
SIGNS
INSp. ROUGHtN .
.EXT~. COST (5 CUP ~
REMARKS
SERV:J:CE ... .. FINAL7-lf- 31
PERMIT FEE 50~ DATE PD.'1-I.2.-77
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