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CITY OF OSHKOSH
N° 38767
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC
K PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /Z 9 5 PLAN NO.
OWNER li.. /.41t.
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 ea- e. 0 4.-
Electric Serv. Ne P Type Change eT m q Volts Amps MO
Am P
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 OOO. O 0 Permit Fee Paid S O e 0 a
Park Dedication
ISSUED BY 4 ,9 0 1 lir.(.Lid7[r Date V /4b Y Final /O.P.
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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