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CITY OF OSHKOSH N2 37773
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a41 ( `Nf VG .
PLAN NO.
OWNER I -aYold kr9litS
DESIGNER 1
USE /NATURE OF WORK • W4
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 Srvi rYL&'1
BT _L WH Disp WSoft CBasin 4
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 557).°G1 Permit Fee Paid $ ) b ' c96 / Park Dedication $
ISSUED BY Date ' //q/ C i Final /O.P.
In the performance of this work I agree to perform ail work pursuant to rules governing the described construction.
SIGNATURE
URE �� M h •
AGENT /OWNER DATE
ADDRESS
TELEPHONE #