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~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECOR
N2
07266
TYPE:
BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
4'
2e.~~-cn-~
-Y ~J--,
PLA NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
, Occupa cy Permit
Foundation
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
B U'S
ELECTRIC CONTRACTOR
'<",> ~
Electric Servo New ~hange D
Fixtures V Switches
Temp D Typej/V VOlt/ ~ ...eO Amps ~
l,/ Receptacles J,/ Circuits t--'
~_1
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sew r
_Sink _ LTub _ Eject _SS _ Water
Other
-
Permit Fee Paid $ J c:::J Park Dedi
Date =3 .-;:L ,- g ~ Final/O.P.
ISSUED B
In the performance of this work I agree to perform all work pursuant to rules governing the described co struction.
SIGNATURE ~~~/ ~/-d
/ A /' DATE
ADDRESS
TELEPHONE #
ELEC. CONTR.
..,
PERMIT NO. tJ
OWNER
ADDRESS
NATURE OF WORK