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CITY OF OSHKOSH N9 41743
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ck HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 109 /AJD) ID Ac_, ti&
PLAN NO.
OWNER OLORI4 RE MR.6
DESIGNER L
USE /NATURE OF WORK (,floa /[, !'7t�/7�E) 6 IA3l,izcw J�6p( Ir
/)0 S77 c rv24 C (An i 2 ,
BUILDING CONTRACTOR gR4D S - 7 --- 6 -- 9v
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit 4_
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: Valuati 3ao�o' , 4' i
Permit Fee Paid $ ! Park Dedication $
ISSUED BY Date q /a�1 Q T Final /O.P. —
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / A ,/riy L A JA..4 - -` 7
J AGENT /OWNER DATE J{
ADDRESS / C LL) 0 /1A-Qik—e_, U
V TELEPHONE #