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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04858
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ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
A- / (1'_
. /
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
EL'ECTRIC CONTRACTOR
r- Y ClnIL
~c CfL--OX' -:}V.
Fixtures
New D Change D Temp D Type _ Volts _ Amps_
Switches Receptacles Circuits X W /
Electric Servo
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject ~SS _ Water
Other
ISSUED BY
Permit Fee Paid $
Date
/
({ (]D (
~- 2 -0' 7
.
Park Dedication $
Final/O.P. ?- J- g 7
FEES: Valuatio
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
L &C/~.
B-7 -87
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
-'
PERMIT NO. 6J tf ~ s g- APPL. DATE
ELEC. CONTR. (t. ~ ~ $/:;
OWNER. oJ ~k,----
ADDRESS / 2. /5"":- // ~/~"YL
NATURE OF WORK ~
. '.
CHANGE:
VOLTS
RECEPT'S
? -;I~ "'07
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
NEW
SW'S
.~
TEMP.
AMPS
eIRC's.;;
pIGNS '.
"INSP. ROUGHIN .~
EST. COST lbOC"
REMARKS
SERVICE " 'FINAL~-7#ZJ'
PERMIT FEE 'Y-!!.---- DATE PDZ'7~7