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CITY OF OSHKOSH
No 37064
4
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0'5 MI 'e'er St le id PLAN NO
OWNER lq, v 5 c--12
DESIGNER
USE /NATURE OF WORK J �.•f�- NC cv ill e
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR j r t -w e N
Heat Np A/C Vent Fuel /System 7V -6 Heat Loss BTU'S U`'�
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
C
FEES: Valuation al D CI Permit Fee Paid 4.15 Park Dedication
ISSUED BY i7 Date x //1 9 J Final /O.P. Y' gl
In the performance of this rk I agr e to perform all work pursuant to rules governing the described construction.
!f l O 4
SIGNATURE 1/1
AGEN OWNER DATE
ADDRESS R1/
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