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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14903
TYPE:
BLDG D HTG D ELEC ~BG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
--...... --... --.. --.. --......... --.....-.. --.....-.. --...-.. --.. --....... --.. -- --.. --...-.. -_...- --- ----
OWNER
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a ~,
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/C~A
70-4
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
a. c.
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
Fixtures
:4 z #
:~ C:' ~J
New D Change D Temp D
Switches K
Receptacles
Type _ Volts _ Amps_
A
Circuits
~
ELECTRIC CONTRACTOR
Ii
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
~
~ Ole- V
Permit Fee Paid $ ~ ~
Date JT --?-F5'
Park Dedication $
Final/O.P. ;gr -..y - ?.5'
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
.4~'Gmi!4
rlt/rl
DATE (
ADDRESS
TELEPHONE #
ELEC. CONTR.
7-/7-3'
PERMIT NO.
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OWNER ../.R~. ~
ADDRESS ~ _~ I 3 -M ~
NATURE OF WORK . ~~? /'
~'ELEC. SERV. NEW CHANGE
O~SC. TYPE VOLTS
i FIX'S SW'S . J>c REcEPT'S
APPLIANCES
TEMP .
AMPS
CIRC'St)(
'-
SIGNS
INSP. ROUGHIN
.. EST. COST
REMARKS
,_, e;:-
':J c:; ~
SERVICE
PERMIT FEE /0 "'~-
. FINAL K -'7-69
DATE PD.?-Y-X?