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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
03204
TYPE: BLDG D HTG D ELEC -a: PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
..... --.. --.......... --......... ----..-... -- --.. --- -- ..-- -- ...----.....- --....-... --'" --- --- ...---..--
ADDRESS /2-/ ( brsm81Z-l<"
OWNER CMr r I If?fE
PLAN NO.
DESIGNER
USE/NATURE OF WORK
Wr1
.
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
/
IJ lTLKE
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
f-
Fixtures
Switches
Receptacles
Circuits
A~ aC) /
I~.
Electric Servo
New D Change D Temp D
Type_ Volts_
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
FEES: Valuation $
ISSUED BY t::1)
Permit Fee Paid $
Date
I
17~~
} ._~t) ~ r7'
Park Dedication $
Final/O.P. ~-;;<. cJ ..- g 7
"
SIGNATURE
perform all work pursuant to rules governing the described construction.
T/OWNER
3~'20~87
DATE
ADDRESS
TELEPHONE #