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ITY OF N°_ 26777
C O OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG Ca ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS L&' &--#4i 5L /D l.i' 1I h ✓I �j XLAN NO.
OWNER aoh-t Y Rh
DESIGNER
USE /NATURE OF WORK 1-1-14.A-C: /j _in e_
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
C HEATING CONTRACTOR 0 wY w Zr Heat r A/C Vent Fuel /System Ah G Heat Loss 1/1 p BTU'S >I- e'i`V
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING NT
CO RACTOR
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 row C`:9 Permit Fee Paid 0 ci`D l Park Dedicati n
ISSUED BY Lt-f,--_ Date 4V, Final /O.P. C1 /87 4 A
In he e ormance is k -rf II work pursuant to rules governing the described construction.
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SNAUR 1111 7 r */P 7
AGENT /OWNER DATE
ADDRESS
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