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CITY OF OSHKOSH N 38701
PERMIT APPLICATION AND RECORD
TYPE: BLDG(HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 1 Sa r q PLAN NO.
OWNER P ---1 0s4 e re r—
DESIGNER
USE/NATURE OF WORK 6K o9G1 sNct I D'".S l e.Stge° r_ P Ala (S/ 4 eGel
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BUILDING CONTRACTOR CD It3 'E
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit `vl
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
__WC FDr __SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation Pere i Fee Paid Park Dedication
ISSUED BY Date ..3��I p I`` Final /O.P.
In the performance cli is work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURES
AGENT /OWNER
L DATE
ADDRESS X �3/...���
TELEPHONE
OWNER ADDRESS 9 SARA 67f
DATE PERMIT USE txxe .e
1 1oo2C Yk consists of
GENERAL CONTRACTOR C c2 w S 1 /0 eo C 2S i
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MASON. CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
1 (0b)-4, I p.} REMARKS
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Front of lot MAILING ADDRESS