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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
02312
TYPE: BLDG D HTG D ELEC~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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7#"~ '"- ~.--L
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
/1~
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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
K), f7.i~
&/~C.(f~lt ~
Fixtures
New D Change D Temp D Type _ Volts _ Amps_
K Switches P<( Receptacles .x Circuits y
tf):)f
r 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
&d
~t Fee Paid $
/
7 5~11
I ;J--- r-zs6
Park Dedication $
Final/O.P. I 2 --. p ~ 11"
ISSUED BY
Date
SIGNATURE
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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ADDRESS
TELEPHONE #
PERMIT NO.{):l-
ELEC.
OWNER
· ADDRESS / -5~:2 .,- h< ~ ~ . ":b _
. ~ATURE OF WORK _ ~ _ =
" ~EC. ~1T. NEW CHANGE TEMP.
DESC. TYPE . . VOLTS AMPS ~
Fr~'S 6/_' SW'S 0<- ~i;EPT'S . . CIRC'~
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i'isp. ROUGHIN, g' ~RVIC~ ... .., . FINAL/~
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