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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10142
TYPE: BLDG~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING fi.-:3 FLOOD PLAIN ~ HEIGHT~ t~
ADDRESS Q ~ t{f) BowrvJ Sf: PLAN NO. (58- Of- O{,U8
OWNER Fe.~b S'.fWl~.-L 1/0<s.
DESIGNER JOH,,J kUf-;TU I 1476 k~wooo CT" MtCVMHA t WI St/q,s--z-
USE/NA ~RE ~F ~K t"^, IN ~ -',;J (VtIA4":)v sA.. IV fi w B\J! LD i AJ u
(U 0' (.<.~ f-o ~ NDA'"1 i ~...J WOtLt< eN ~ d- 4 oCfr" g i
BUILDING CONTRACTOR ~i (~ f;:T~kL GP--f"
I f l""'l:
S;ze S" xCf . Sq.:1. . f $l:l # Rooms L:-r # Stones
Foundation >JJ,- <' Sl...AJ3. -' _ Grv.OL. &~ Class of Const. .1 c.
( Height! 0. !
, Occupancy permitdQ(jt~
HEATING CONTRACTOR
.!Uo/V~
,
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
A/CJ~
.-
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
~Iod/.-L-
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_WC
_FDr
_ L Tub
_Ur
_San. Sewer
_ Storm Sewer
_Lav
_Sink
Other
_ Eject
_SS
_ Water
Permit Fee Paid $
Date
r
'7'= j
~ -:LC,-8 'i
Park Dedication $
Final/O.P.
;Jh
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Nx / ~ .
AGErfi'/OWNER
ADDRESS ~..2/ ~ _<;/'__/O.-?-(' ~
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ELEPHONE # ,