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CITY OF OSHKOSH N 33638
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Ar SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS PLAN NO.
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OWNER
DESIGNER
USE /NATURE OF WORK /t I( ,P4---2-4";L
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
PLUMBI ✓✓G CONTRACTOR SA LLB
!BT WH Disp WSoft CBasin
21 Lav id DW DF San. Sewer
2 WC FDr L SP Ur Storm Sewer
Sink LTub Eject 7�7y SS Water
Other 4 G W tiLC- t,
3S'oo.o x$0 0/
FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY_ T Date 7 Final /O.P. CJ .ag j3
In the performance of this work I agree to perform al work pursuant to rules governing the described construction.
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SIGNATURE
AGENT /OWNER DA E
ADDRESS J-C 7 f// lf"-1-1*7.169`-'1' 4 ,4q 730— o
TELEPHONE
ADDRESS s-1�1� n
OWNER DATE 3 -'d 4-7_? 3 3 G 3
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