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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
25493
TYPE:
BLDG D HTG 'fij ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
J '? ~ ~ f;/~j'12 0 p 1<-
12--f3 ~ ad 7
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
/JdI;I JJ-/e-
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
't
HEATING CONTRACTOR D 12.
Heat D AlC ~ Vent D Fuel/System
~
"
6-/a ;z.. e .71tL-
F / -.e- c...-r-. Heat
Loss hl"5 r
BTU'S ~ ~h
ELEGTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
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
/&fPtP r 0-0
~
,
Permit Fee Paid $ /'7', ~ I
Date 9j' ~?jV
Park Dedication $
Final/O.P.
9.-;;; 5- -<JI
/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~4-- _
AGENT/OWNER
9/~~ff/ .
/ D TE .
ADDRESS
TELEPHONE #