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CITY OF OSHKOSH N2 43674
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG (P ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 313 /l4 ) / PLAN NO.
OWNER De n ni`s (P4 4-
DESIGNER a //
USE/NATURE OF WORK f/2�J CI Fv,h 4'C ,e
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR re t-k -7e1. 7" *0, FG h & f Q
Heat [g A/C Vent ❑ Fuel /System AL 6 Heat Loss y /`S,T BTU'S AP O
4 - L , 'ten i-`c
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
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
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FEES: Valuation $ ' ' Permit Fee Paid $4' Park Dedication $
ISSUED BY ° ,-- Date g/ 1 / 9 � Final /O.P. 3 - lI c ko
In the performance of t 's work I agree to pe •rm .11 ork pursuant to ruall•overning the described construction.
i •
SIGNATU' r A/i/ 9i-
v. , AGENT /OWNER
U (/ D ATE
ADDRESS a Q 4 , rl / �j 3 % d! ?v
TELEPHONE #