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~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10948
TYPE:
BLDG D HTG D ELEC ~G D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
36C) is
,AtJ.-Vld
s ~O -el/et-
1<fA- a- ~ k.. b -e u
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
,.
W I tA'e
2/l Q t;(/
6fo/\-e
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New ~ge D Temp D Type2f!- Volts~ Amps~
Fixtures L--switches L----' Receptacles -'L---- Circuits L---
Co la I-
~.
PLUMBING CONTRACTOR
_WC
_FDr
_ L Tub
_Ur
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
_BT
_WH
_Sh
_Disp
-----'.-:-DW
_SP
_ WSoft
_DF
_Lav
_Sink
_ Eject
_SS
Other
ISSUED B
0<"-
o 0 t:) ::..-permit Fee Paid $
Date
/ 7 ;J. ~ .> 8 Park Dedication $
/ CJ -/ ~~ %T Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~AfL..~
/O;/<(/~
DATE
ADDRESS
TELEPHONE #
ADDRESS
NATURE OF WORK
. DATE
;7- /--~
PERMIT NO.
ELEC.
r
OWNER
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS