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NEI 35987
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Z 6 7 L(),,Iil.nt r tha PLAN NO.
OWNER /r-�e-
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 r! £'X1
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles 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 Z-00 O o 0 J Permit Fee Paid 5 j Park Dedication 41
ISSUED BY Lam. Date �f Final /O.P. g a c. 9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7/'---
T /OWNER
ADDRESS
TELEPHONE