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CITY OF OSHKOSH N 37349
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 PLAN NO.
OWNER ��C�u%a -e- �.J`r
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?
Electric Serv. New c Change Temp Type 61 /47 Volts Amps/
Fixtures Switches Recept cles Circuits
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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 Permit Fee Paid S�
Park Dedication
ISSUED BY �i /%f_. ae., Date 1 1 3 9 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE _ilitl< 7/0
AGENT /OWNER DATE
ADDRESS
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