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N°- X0367
CITY OF OSHKOSH
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC (~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~~ S rQ~~ PLAN NO.
OWNER ' ~~
f1FCIC~NFR _ __
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Disp
DW
SP
- Eject
BTU'S
ELECTRIC CONTRACTOR ! ~` ~!
Electric Serv. New ~j` Change ^
Fixtures Switches
PLUMBING CONTRACTOR
_BT _WH
Lav _ Sh
WC FDr
-Sink - LTub
Other
FEES: Valuation $?®Q ~. % , L ~ Permit Fee Paid $ _ ~' ~ ~ ~ v Park Dedication $
ISSUED BY.~~ f
-~ .L.~~.~~`f~--- Date -Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
Heat Loss
- WSoft
DF
Ur
- SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
^ Type
Receptacles
Volts ~~~/ Amps ~C~
- Circuits
DATE
ADDRESS
TELEPHONE #
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PERMIT NO. ~~~ 7 APPL DATE ~/7/C
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REMARKS
~~
PERMIT NO . ~~ -3 ~ ~ APPL . DATE ~ ~ ~/~ '~
FT FC SERV NEW ~-ti,~.ivva """
D~'SC TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES -
APPLIANCES - - _-_ _ - - -