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CITY OF OSHKOSH N 32409
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGX SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /7
PLAN NO.
OWNER 1
DESIGNER
USE /NATURE OF WORK i er
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR a /l
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation O a Q Permit Fee Paid Park Dedication
ISSUED BY Date 0 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE t it AGENT /OWNER 1 T DATE Fa.,
ADDRESS
1 (se, `o I t .233-47 Y 7
TELEPHONE