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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18584
TYPE:
BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
/.? /7 /hYN7,Y .
,~6(Pv-1- 4Ls-/r,II'~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
0~Yy'11
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
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
g~r#~/l-
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_ CBasin
_Lav
_DF
_ San. Sewer
_WC
_FDr
_Ur
_ Storm Sewer
_Sink
_ L Tub
_ Eject
_SS
_ Water
Other
/
,;'/
, 0'0
FEES: Valuation $ R Of)
ISSUED BY ~ ./'~o /"
V' . .. ", . 7'*
/('l vu
Permit Fee Paid $ . V'
Date~- ~ 6 ~~90
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~4~/~"
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #