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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
12773
~PE~ _ _ BLD~ _~ _ ~TG _ ~ _ ELEct PL::t ~'G~ _D _ ZO_N~N~ _ _ _ _ _ _ FLOOD_ PLJ"~ _ _ _ _ _ _ HEI~~T _ _ _ _
ADDRESS (9.3 }//f3fljYI PLAN NO.
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OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Con~t.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
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tfY
Amps_
y
oo~,
Electric Servo
I
New D Change ~Temp D Type _ Volts_
Switches ~ Receptacles Circuits
Fixtures
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
ISSUED BY
I
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Permit Fee Paid $
Date '7 -11--- g- L
Park Dedication $
Final/O.P. kf- -/ / - X"'?
In the performance of this work I
, e to pertonn all wmk pu",uant to mles governing the described CO:!, / I ,
DAT€
19
SIGNATURE
ADDRESS
TELEPHONE #
SIGNS
INSP. ROUGHIN
EST. COST '70
REMARKS
=
F-ERMIT NO.
ELEC. CONTR.
~WNER
~DRESS
NATURE OF WORK
=
ELEC. SERVo
DESC. TYPE
FIX'S
AEPLIANCES
.. ;
TEMP.
~~'S .P}
SERVICE FINAL .-fl -ff?
PERMIT FEE ~ ~ DATE PD -11- P"7
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