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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14659
TYPE:
BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS :J Z)
OWNER II ~
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PLAN NO.
a S" v N\ '"
DESIGNER
USE/NATURE OF WORK
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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 C_t"> \ \ \ -e'('"'
_BT -*WH _Disp
_Lav _Sh _DW
_WC _FDr _SP
_Sink _ L Tub _ Eject
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
:? ere>
FEES: Valuation $ 67.J
ISSUED BY~/~
/
Permit Fee Paid $ /0 e1U '11''-
Date ??- - 2. -?f
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuan' to rules governing the described construction.
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SIGNATURE In -';..).v... Q r9...~t;;,?"
AGENT WNER
ADDRESS /10:J Ashl4li_ "\ J .
DATE
TELEPHONE #