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CITY OF OSHKOSH N ° - 35990
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS c''jS 1:* PLAN NO.
OWNER ,e,' c
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
4*--4---"o c 2(4---e - •
Electric Serv. New ®/Change ❑ Temp ❑ Type Volts Amps / 11- C )
Fixtures Switches `'' - Receptacles 1 .-- --- Circuits L"----
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 $ a0 d O Permit Fee Paid $ Park Dedication $
ISSUED BY Date / ��7� Final /O.P. , �- 94
In the performance of this IN. . I agree to perform all work pursuant to rules governing the described construction.
411K
SIGNATURE / / 9 3
NER DATE
ADDRESS
TELEPHONE #
PERMIT NO. AP 3 5 cI 9 0 . APPL . DATE
ELEC. CONTR. /
OWNER 22.e.
ADDRESS ?CO � �`�,f7 c.D�.•c -.-�
NATURE OF WORK
ELEC. SERV. CHEW> CHANGE TEMP.
DESC. TYPE c.1/67 VOLTS 3 uJ AMPS /o 0
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS ✓ / : -o
INSP. ROUGHIN / /f �93 SERVICE f/6 93 FINAL 21ZWIy
EST. COST Z000 • 0 PERMIT FEB ° •O® DATE PD. 9/f 9
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