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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14094
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2'd 00&1-.
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
K/C-.
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~_ a~_/6
Fixtures
New 0 Change 0 Temp 0 Type_ Volts_ Amps_
Swllches ~RecePtacles Ciccults ~ f:l--
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
Permit Fee Paid $
Date
"
/ n y/....
If -,;2.6--%9
<
Park Dedication $
Final/O.P. t ~ ;Z 6 ".- 2? 9'
,&-
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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AGENT/OWNER
Chit' ~
/ DATV
ADDRESS
TELEPHONE #
ELEC. CONTR.
!
i PERMIT NO.
-..--'"
ADDRESS
NATURE OF WORK
---
U~
r~'1- t/~
c;;:e--L::-
OWNER
ELEC. SERVo NEW
DESC. TYPE
FIX'S SWIS ~
APPLIANCES
CHANGE
VOLTS
RECEPT I S
TEMP .
AMPS
CIRC I S r>Z.
)
. SERVICE FINAL -;J.J-If
O()::.....::--- PERMIT FEE - DATE PO -A' ~'lI
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