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No 39121
CITY OF OSHKOSH
PERMIT — APPLICATION AND RECORD
TYPE: BLDG TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS l 72-4 ��G Y e PLAN NO.
OWNER 4 fk_ 5
DESIGNER
USE /NATURE OF WORK S it f / ^ /
- /, .cam-. • y - ' i.
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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
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 $•! I
__ Per Fe- ' $ Park Dedication $
ISSUED BY 41L . _ 7 .. - „-// Date 4I� Final /O.P.
In the performance of this work I agree to pert: rm all work pursuant to rules governing the described construction.
SIGNATURE . / -Os k..0/ /g7ii/9,1
AGENT /OWNER T
ADDRESS 6:e72 6:e72 1.',,.- c --” 7/Y- %24 -17V
TELEPHONE #