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No 39197
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG11 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7/ L[/ 'ISO `t 5/ PLAN NO.
OWNER N/cc -'/z t _Thu erD»i eli 1S
DESIGNER
USE /NATURE OF WORK s /V Lu tl/ 4f'h
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 7'e K Th ST 2/ 0
2724 7 �f`
I Heat iv
-a- Vent Fuel /System Heat Loss /pp BTU'S s? C 1017
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 27)1. 0119 Permit Fee Paid 5 9 c�
Park Dedication
ISSUED BY Date i// Final /O.P. /q7 5
In the performance of this work I agree to perfor work pursuant to rules governing the described construction.
Lie! r J
SIGNATURE 4/,/ Yq
AGENT /,�'ER A TE
ADDRESS ,P 4 y 0 D 6 y/Q
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