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c 3 N°_ 35455
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG je SIGN ZONING FLOOD PLAIN HEIGHT
l27
ADDRESS PLAN NO.
OWNER ZG
DESIGNER
USE /NATURE OF WORK 4" l gs. 6 --c---"---14-Z-
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
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer L I V c
WC FDr SP Ur _L Storm Sewer Y C/ C-
Sink LTub Eject SS Water l 4-
Other
FEES: Valuation 6 O Permit Fee Paid 3. 0. cn fl Park Dedication
ISSUED BY Date V/ 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
V v
SIGNATURE
AGENT/ ER DATE
ADDRESS
TELEPHONE