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CITY OF OSHKOSH N ° - 37344
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Ar PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /O 40 S .o. --- e(..0 c 9 ' 4":4"-- 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 Lw1•7 e---"7
Electric Serv. New 71 Change ❑ Temp ❑ Type u/4 Volts 3 Amps 7 -O °
Fixtures Receptaacles Circuits
'4& /4
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 $ oV J 0 0. 0 0 Permit Fee Paid $ 8 • 00 V Park Dedication $
ISSUED BY 21144.- ae � Date /Z / /f Final /O.P. 3-3 'I ii
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
..../ ` /
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SIGNATURE ' - ��v.ff /� is — 9'..3
/ AI AGENT /OWNER DATE
ADDRESS
TELEPHONE #
(
PERMIT NO. 373 `f , APPL. DATE // /8/
ELEC. CONTR. ea--27e
OWNER
ADDRESS / 0 5
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS 3‘4, ' of /dA AMPS W
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS /
INSP . ROUGHIN /if / 7 SERVICE / // 9 3 FINAL 313 S�
EST . COST gcoo • v 0 PERMIT FEE • ® V DATE PD. / 30
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