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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04122
TYPE:
BLDG 0 HTG 0 ELEC J8. PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Cons~.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
.BTU'S
t"
ELECTRIC CONTRACTOR
~
Electric Servo
Fixtures <><
New 0 Change 0 Temp 0 Type _ Volts_
Switches ,)( Receptacles.J( . Circuits
Amps_.~
'1'fV r
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 $
Date
/
I ;;-~I
~ -/t'J.- '77
Park Dedication $
h -/c;-87
ISSUED BY
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~~. III "" 8"~
, DATE
ADDRESS
TELEPHONE #
PERMIT NO.6J Lf 1,,;)-2-- APPL. DATE > -/' C/ ~ &'7
ELEC. CONTR./~ ~~
, ''hid. /1 if.
OWNE.R {-1-/~ tv~
~~~~~S OF WORK 7/ S ~ It( ~ ~ ~
bLEC. SE~V.. NEW
DESC. TYPE
FIX'S ... ~
~PLIANCES
SIGNS
INSP . ROUGHIN . .~ SERVICE FINAL
EXT. COST. / ~O PERMIT FEE /2 6J~E PD.fo-(~-{;l
REMARKS
5W-3
CHANGE
VOLTS
RECEPT'S
TEMP.
AMPS
CIRC'S /