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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
28623
TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT
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OWNER
4
DESIGNER
USE/NATURE OF WORK
e~~U ~
II .
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT -LWH
o
t~
L-...J,?--
_Sink
Other
_FDr
_ L Tub
_Disp
_DW
-Lsp
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Lav
-Lwc
_Sh
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
Permit Fee Paid $
Date
/
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{..J- ,0 0
S-//f/7L-
/ /
Park Dedication $
Final/O.P.
FEES: Valuation $ ;? C> 00 ,e, 0.
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ISSUED BY
In the performance of thi
rk I agree to perform all work pursuant to rules governing the described construction.
ADDRESS
(pr.t1J !#.
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SIGNATURE
DATE
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