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N2 35935
CITY OF OSHKOSH
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2-6 TS AgZ`Jt+'t '4 PLAN NO.
OWNER Lt SS /gr./ .,/ L / •r/4
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 S - • 6 . / / C--
t
Electric Serv. New a Change ❑ Temp ❑ Type C; Volts % Amps /Od
Fixtures Switches Receptacles X Circuits X
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 a Permit Fee Paid $ ,0 O Park Dedication $
ISSUED BY Date V/ Y/1 3 Final /O.P.
In the performance of 's work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE U E / /i/3
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
•
PERMIT NO. 3 cl 3 . APPL. DATE ijZ ti /9 3
ELEC. CONTR. /04
OWNER . a4
ADDRESS 2-40 `f , 174J /('
. NATURE OF WORK nix.")
CHANGE TEMP.
ELEC. SER /NEW , VOLTS z.e L 0 � 0. ' 4
' - - C- .E
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGH ;N /0/93 SERVICE LS -A 3 FINAL // ,(
EST. COST l 7a•oo PERMIT FEE SO •oO DATE PD. 9 /�'f�I9
REMARKS