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CITY OF OSHKOSH N ° - 38150
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECX PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7o /C•O'(t- _sue ( C (. PLAN NO.
OWNER
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 (/Airn GAY / /.P,tc) V ■J,f.,k-
Electric Serv. New, Change ❑ Temp ❑ Type u /G - / Volts 3 W Amps X 00
Fixtures Switches Receptacles Circuits
•
PLUMBING CONTRACTOR
- BT WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
FDr SP Ur Storm Sewer
_Sink LTub Eject — SS Water
• Other
FEES: Valuation $ 1 7 , 00 • oa Permit Fee Paid $ / . 2 . Park Dedication $
ISSUED BY Date 2 1 2 - 1 /* Final /O.P. ¥'/3 - 9
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 #
F o 25 1 L � �. 63r
PERMIT NO. �o/ . APPL. DATE z/ ?/'
ELEC. CONTR. de,././1.4...;-1,x
OWNER ,J�GCI..
ADDRESS 176 0 ,2 - 55 -- c c
NATURE OF WORK
. ELEC. SERV( CHANGE TEMP.
DESC. TYPE VOLTS 1 fd 3 w u /67 AMPS /'-o
FIX'S SW'S RECEPT' CIRC'S
APPLIANCES
SIGNS 41...i.r� 7 $
INSP . ROUGH N SERVICE'/7V FINAL tly EST. COST 17 00 0, V 3 PERMIT FEE / 2 > - O DATE PD. y i Y
REMARKS
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