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CITY OF OSHKOSH N2 37402
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC
X PLBG SIGN ZO NING FLOOD PLAIN HEIGHT
ADDRESS 3 0 Z e, tzt.fJ ff,yiic PLAN NO.
OWNER jzil 49`-l--0-
DESIGNER
USE /NATURE OF WORK
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 zieL 4(--
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches f eceptacles Circuits
PLUMBING CONTRACTOR
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 500; o Permit Fee Paid 3 C.° ki Park Dedication
ISSUED BY XL .(.4.v Date Z/Z 7 /4' 3 Final /O.P. /1 9_3
In the performanc f this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE s,(
AGENT /OWNER DATE
ADDRESS
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