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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
01481
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ADDRESS
PLAN NO.
OWNER
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 NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
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Electric Servo New D Change D Temp D Type _, Volts_
Fixtures f><L Switches tJ>L- Receptacles ;SC Circuits
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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
t:J 0 ~rmit Fee Paid $ de).:::---
Date '7.;;- <) - ~b
Park Dedication $
Final/O.P. .cr - ~5" - g ~
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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v" AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
PERMIT NO. r0 ~_ . APPL.DATE 7 ~/ 5'~<Zk
ELEC. CoNTR. _:d:::1 th;?tZ .
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VOLTS
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OWNER
ADDRESS
NATURE OF WORI<
ELEC. SERVo NEW
fESC. TYPE
FIX'S ~x.
APPLIANCES
TEMP .
AMPS :2S:
CIRC 'S! .
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS
PERMIT FEE .
FINAL~~:
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