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CITY OF OSHKOSH N 37442
PERMIT APPLICATION AND RECORD
TYPE: BLDG 4. HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS f� PLAN NO
OWNER 44.,,k
DESIGNER
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USE /NATURE OF WORKt L I"' Gc--‘,42 ACCGt r
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BUILDING CONTRACTOR E (o j t iJM
Size Sq. Ft. Rooms Stories Height Q
Foundation Class of Const. g Occupancy Permit (/`e)
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR /I i lie 6t k'
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 P rmit F e 'aid Park Dedication
ISSUED BY l -4., .a. Date 7* P
Final /O.P.
In the performance of this work I agree to perform all work uant to rules gov rnirp the described construction.
SIGNATURE Vi Z 3
AG ENT /O I WNE D
9
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ADDRESS i30E3 nla' c 1i'' Z3/ y.eg
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