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CITY OF OSHKOSH
N2 40157
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / / Z 0 o6 ,1 a�
PLAN NO.
OWNER _ te e
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 Altd-r
Electric Serv. New X Change ❑ Temp ❑ Type h1 Volta' 44/ Amps 24' a
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 $ 61-000.0 0 Permit Fee Paid $ 5 Dui Park Dedication $
ISSUED BY Date 4 / -S SG Final /O.P. 9'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � c URE Wr
AGENT /OWNER
ADDRESS
TELEPHONE #
t
PERMIT NO. 2 R ( -C - 7 .ApPL. DATE
ELEC. CONTR. i/CYG
OWNER 7:
ADDRESS 0' 40.r
NATURE OF WORK
/740//*
ELEC. SERV. NEW ) CHANGE TEMP.
DESC. TYPE W//47 VOLTS 3c.A) AMPS 242
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS ‘4/.
INSP. ROUGHIN SERVICE citWfq FINALi
EST. COST ZA40.0-1.) PERMIT FEE cr,-0. DATE pD. t 7- 5
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