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CITY OF OSHKOSH
N2 44356
PERMIT -- APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG)4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS €y 40 m Vn.Q c V(4 , PLAN NO.
OWNER m( a. 1Q x' t A a
DESIGNER A
USE/NATURE OF WORK_ CQ -00.CQ UAY A--.i?X , Avaker
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 Circuits
PLUMBING CONTRACTOR a j mrnO5
- BT WH _ Disp _ WSoft _ CBasin
- Lav _ Sh _. DW _. DF — San. Sewer
— WC _ FDr _SP _ Ur _ Storm Sewer
— Sink _ LTub _ Eject _ SS — Water
Other
/ j //�� ► CO Lab 7
FEES: Valuation $
�1 W Permit Fee Paid $ r . Park Dedication $
ISSUED BY —�----- Date ifr S— Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWN GATE
ADDRESS C
TELEPHONE •