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CITY OF OSHKOSH N° 42796
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELECPLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS o GU 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 d(.f...--4-3-1. [s-► oyy' ZZ
Electric Serv. New %Change Temp Type Volts 3(62. Amps 412.2_
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation Z'd o d (.9 8 Permit Fee Paid
a d Park Dedication
ISSUED BY L4 66.r" -+c��
Date /��j” Final /O.P. I Z 7/g5
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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