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CITY OF OSHKOSH N 44347
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Qq l LIncl )Y1f PLAN NO.
OWNER Jc\(\ C)S� Q ar)
DESIGNER
USE/NATURE OF WORK Q Q ftCQ W('l -D-Y
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 din m0i).5
BT _L WH Disp WSoft CBasin
Lav Sh DW DF _San. Sewer
WC FDr _SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 350 Permit Fee Paid Park Dedication
ISSUED BY Date 4 Final /O.P.
In the performance of this work I agree to perform all work ur I I overning the described construction.
SIGNATURE �S
AGENT /OW R DATE
ADDRESS
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