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CITY OF OSHKOSH No 38763
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC
X PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /Z ?a PLAN NO.
OWNER A. 2
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
1
ELECTRIC CONTRACTOR C‘,44(--/-.1
1 /7 C0.„
Electric Serv. New Change Temp Type (4G Volts3(•C) Amps /et
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 C.) Permit Fee Paid 5o° 00 c/ Park Dedication c�
ISSUED BY 1 Date r Final /O.P. /2 JO f
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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