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CITY OF OSHKOSH N2 42803
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6/ 42, PLAN NO.
OWNER LI
DESIGNER
USE/NATURE OF WORK
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 44 vn
Electric Serv. New Change ❑Temp ❑ Type 4/' Volt cd 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 $ o Permit Fee Paid �'
° a a $ Park Dedication $
ISSUED BY — Date ///7 /950 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
23/- S-9fi, / 6,1i PERMIT NO. 1 /2-4 -0-3 . APPL. DATE /0/ 9 Y
ELEC. CONTR. !i/,c/l l/n�
OWNER Ay ( LeL //
ADDRESS / a II � 2(1 9 /1-4
NATURE OF WORK
ELEC. SERV. / l GE l 26
•
DESC. TYPE L{1 VOLTS '3 AMPS lo
FIX'S SW'S r RECEPT'S CIRC'S
APPLIANCES /,
SIGNS /1 �
INSP. ROUGHIN SERVICE /0 y 9 FINAL' ' f I
EST. COST '-' o 0 PERMIT FEE 8r DATE PD. /
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