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N2 39178
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SI ZON FLOOD PLAIN HEIGHT
ADDRESS f PLAN NO.
OWNER
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/s002' Gs'c.-' t.d ).(.r)
Electric Serv. New Change Temmp Type 6 �7 Volts 36 Amps ._7._S
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 ,?c/O c 0 Z Permit Fee Paid -5 a 0 J Park Dedication
ISSUED BY 4.✓ (.Zr' Date /9 y Final /O.P. 402 '00 •9,
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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