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CITY OF OSHKOSH N2-41053
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC X PLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS Z L�
7 9 ...4uy PLAN NO.
OWNER /���.4 &I> u/,
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 a cil
Electric Serv. New ir Change Temp Type 11/6 Volts- 3 W Amps 6:3
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 O O a Permit Fee Paid SO- d" Park Dedication
ISSUED BY Date /Z/S, Final /O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
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