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CITY OF OSHKOSH N° 35260
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLB4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ao a b 6a1 PLAN NO.
OWNER flttkitJ /JDLI
DESIGNER nn
USE /NATURE OF WORK _L faO. bO
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ...Sink rvurY 4
BT WH Disp WSoft CBasin
C..-_____
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
00 FEES: Valuation S 74 Permit Fee Paid /Q Park Dedication
ISSUED BY J1J i/i t U /L1L Date /z/93 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 04
AGE NER DATE
ADDRESS
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