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CITY OF OSHKOSH
N°_ 3
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 0 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS yo izy e-,./1 J .W r�1e f a PLAN NO.
4
OWNER ki -h T
DESIGNER
USE /NATURE OF WORK 1* 4_6 �V u• ies q
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR g 14 eG!J e 1 4- 1 7
Heat Sa) A/C Vent Fuel /System Alt Heat Loss p BTU'S
i
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
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation ppee. cite) Permit Fee Paid `LG eit!' Park Dedication
ISSUED BY Date ✓��lQy Final /O.P. S I' 9
In the performance of this work I agre to perform all •rk pursuant to rules governing the described construction.
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SIGNATURE 0 0
AGE ''INNER
ATE
ADDRESS
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