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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
04857
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ADDRESS J ~ I g f/ Jbbcy,!l- . PLAN NO.
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OWNER
DESIGNER
A f (Y_
I
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
EL~CTRIC CONTRACTOR rV- CLn IL ~elJLCLf --:)y .
Electric Servo
New D Change D Temp D
Type_ Volts_
Fixtures
Switches
Receptacles
Circuits
Amps_ ~
X ~.f
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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
Permit Fee Paid $ C/-. on
Date%-7 - g 7
-
/
J
ISSUED BY
Park Dedication $
Final/O.P. l! -? -- Z 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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AGENT/OWNER DATE
SIGNATURE
ADDRESS
TELEPHONE #
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PERMIT NO. & tf '6')/ . APPL. DATE 7--1.5'--'2")7
ELEC. CONTR. Yri ~ 5t a.~
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?LC'
CB~C;E
VOLTS
>- 0 IX- RECEPT' S
OWNER
ADDRESS
NATURE OF WORK
.. '
EJ.,EC. SERVo
DESC. . TYPE
FIX'S
APPLIANCES
NEW
'l'EMP.
AMPS
CIRC'S ..Ps
SIGNS
INSP. ROUGHIN' ~
EST. COST I IfI CJ ~
REMARKS
PEi:~~I~E 7'~DA~iN~t~,r~~
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