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CITY OF OSHKOSH N2 40751
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG W SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS. 1/n W..(f'(cia3r
PLAN NO.
OWNER /rQ() or. n ein
DESIGNER
USE /NATURE OF WORK I.UO±Q 41m hi(
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
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR _32213:0022i/D_____
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
Or)/
FEES: Valuation (.t J, Permit Fee Paid Park Dedication
ISSUED BY Date Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 14 v
AGENT /OWNER DATE
ADDRESS
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