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CITY OF OSHKOSH N 43941
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELECPLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS '"�r PLAN NO.
7
OWNER
DESIGNER
USE/NATURE OF WORK /l-L61
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 I
Electric Serv. New Change Temp TypI'/ Volt C2 Amps 1
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 2-4° 0 0 0 O Permit Fee Paid J O J Park Dedication
ISSUED BY %K Date 3 /f h Y ---V Final /O.P. Ca /z/95
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE