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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
26852
TYPE:
BLDG D HTG D ELEC g PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
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 ~...e ~eC!7.bC- :zw c .
Electric Servo New D Change j2f Temp D TypeO..../.,I, Volts/d='~AmpsOb'O
Fixtures Switches Receptacles Circuits )c
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g... ~ "'II
PLUMBING CONTRACTOR
_WC
_FDr
_LTub
_Ur
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_Lav
_Sink
TOther
_ Eject
_SS
00
Permit Fee Paid $ ~. -
Date Yd/9a.
Park Dedication $
Final/O.P. 1- )7-1~
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE d ~fi
AGENT/OWNER
tYd/9~
DATE
ADDRESS
TELEPHONE #
OWNER
PERMIT NO. :2... " 6~.2. . APPL.' DATE /"-z -/b' -!/
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ELEC. CONTR.
ADDRESS
NATURE OF WORK
ELEC. SERV. NEW
DESC. TYPE J.... - '3
FIX I S ~ SW 'S c.<..
l:.PPLIANCES
. ~I'GNS
l,NSP. ROUGHIN
EST. 'COST
REMARKS
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