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/`'~ CITY OF OSHKOSH N4 37357
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ T~ lA~ ~G/C ~~
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft,
Foundation
# Rooms
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ C n
Fixtures Switches
PLUMBING CONTRACTOR
-BT -.WH
- Lav - Sh
- WC - FDr
- Sink - LTub
Other
^ Temp ^ Type Volts
~ Receptacles Z"
-. Disp
- DW
.- SP
-Eject
# Stories Height .
Class of Const. Occupancy Permit
.- WSoft
- DF
- Ur
- SS
Circuits
Amps
- CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ ~~ ~ 2..i 3 ~ a ar Permit Fee Paid $ `S ~^
_ -Park Dedication $
ISSUED BY Date _ ~Z 3°9,3 Final/O.P.
In the pertormance of this work I agree to pertorm II work pursuant to rules governing the described construction.
SIGNATURE y ~ ~ ~~
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #