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CITY OF OSHKOSH N ° - 45886
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC
X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 �o �� / PLAN NO.
OWNER /4 •
DESIGNER /�
USE/NATURE OF WORK_ tz 6 4
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 X1-614-71-4--
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
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 /33 • / Permit Fee Paid $ / S• o / Park Dedication $
ISSUED BY Date 7,(%9l1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO . �g . APPL . DATE
ELEC. CONTR. 15/
OWNER
ADDRESS 26 vt.
,NATURE OF WORK C2 -
MEC. $ERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE TINAL.4/ e
REM
s.