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CITY OF OSHKOSH No - 41215
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS C94$ 3 / PLAN NO.
OWNER ____Zdt,
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 /z.C_
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 $ /13.37 Permit Fee Paid $ /5- 0 a Park Dedication $
ISSUED BY /1(44-r iec.11..r- , Date J /� /9 Y 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. / . APPL . DATE tY, /0 )
ELEC. CONTR.
OWNER
ADDRESS 2 ?3/
NATURE OF WORK aiA l
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS ,,/
INSP. ROUGH IN SERVICE FINAL A4W(
EST. COST / 3, 3 7 PERMIT FEE J 7 DATE PD. f /23 /y
REMARKS
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