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CITY OF OSHKOSH N2 32945
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 0 HTG 0 ELEC ~ PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
13 e- c- t. et #",)
Co ". rf~u c.- f I OVl.
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR I"Yt 0 ;/r; f LIe c- -f V' I ~ ]::: ~ c..--
o Electric Servo New ~ Change 0 Temp 0 Type~ VOltfl'~AmpsJ...m
Fixtures "f Switches r Receptacles V Circuits k
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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
C9, Qc-
, 'd t:1 ::::..-- Permit Fee Paid $
Date
I
I 5t:7~ .;
3-9'-9'~
.....",
Park Dedication $
Final/O.P. '1-,)1.,-9:.8
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .-!2-.rrL-
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ADDRESS
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AGENT/OWNER
TELEPHONE #
OWNER
PERMIT' NO. 5 ;:2.. /1/.-5' . APPL. DATE 3 <-- /-Y3
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ELEC. CONTR.
ADDRESS
NATURE OF WORK
ELJilC. SERVo NEW k
DESC. TYPE 9: ~ I.t;, <- V ~- J -~
!.LX'S K. SW'S "..q'
APP.~LIANCES
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS
CHANGE
VOLTS I ;z..y.:zt? p
RECEPTTS ~
TEMP.
AMPS ~dO
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