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CITY OF OSHKOSH N° 32730
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG o f SIGN ZONING FLOOD PLAIN HEIGHT
e.
ADDRESS 6 4 7 1 At/ CIE' PLAN NO.
OWNER
DESIGNER Q
USE /NATURE OF WORK A/C F n
7
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 y
BT WH Disp WSoft CBasin l/
Lav Sh DW DF _l_. San. Sewer r P C
L.
WC FDr SP Ur Storm Sewer Y
Sink LTub Eject SS Water
Other
FEES: Valuation .,G' 0 6) Permit Fee Paid 3 Q Park Dedication
ISSUED BY E Date 72 -3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 6 c -11 7
L/
AGENT /OWN' DATE
ADDRESS V
TELEPHONE
ADDRESS 6 L
/,,,..e* PERMIT APPLICATION T
OWNER DATE
PERT# 3 z 7 3. a
NATURE OF WORK 4. r/= 1 O
W R M
Ito if- "De E ector
i DATE as Water Softener
C G Gt�C� Drinkin Fountain
'L`�
s Slo. Sink
Floor Drain e
60 0 Laundry u• Local Waste
NMI Dis•osal Site Drain
Mil Dishwasher Laundr Stand.i.e
Catch Basin
Dinla
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