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CITY OF OSHKOSH N °- 38377
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (X U 5 I f' IGJIUW PLAN NO.
OWNER ! " a i
DESIGNER
USE /NATURE OF WORK _11
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 . Sa f 1 YYI•0 ! ,4_
BT j_ WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
IA vU CYO FEES: Valuation $ 3 t ' /t 1 Permit Fee Paid $ !� Park Dedication $
ISSUED BY Date . - J 9 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 11.111■._
AG •WNER DATE
ADDRESS
TELEPHONE #