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CITY OF OSHKOSH
No 37769
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 10 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS J3 , 4? ZeJ a42J -- 4117 i � / PLAN NO.
OWNER � 'rw . (gull) Q ,> .
DESIGNER
USE /NATURE OF WORK A i —' • h,
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 p Circuits
PLUMBING CONTRACTOR S fk_NU\ tile- l`ry\/a/
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 $ .5-00.42° Permit Fee Paid $ /0, as
Park Dedication $
ISSUED BY Date _.../7/7tt Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE St
�,fiG NT /OWNER
t DATE
ADDRESS
TELEPHONE #