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CITY OF OSHKOSH N ° - 42698
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS as G S 1 ,' ,
PLAN NO.
OWNER /9.
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 (/u')tt( 'T�iit.. :;- - A2.41
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 $ • d ° Permit Fee Paid $ / o Park Dedication $
ISSUED BY71-"--1... Date / ///7 J / f) Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / �, fi►_'_-J
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 4/2- �p 9 Co I L
APPL . DATE / / / T / a j
ELEC. CONTR.
OWNER 2) •
ADDRESS 2 S t S� �
NATURE OF WORK
ZI,Za , SERV. NEW C HANGE
D C .
FIX'S TYPE SW'S VOLTS TEMP.
pp LANCES RECEPT'S CIRC'S
IGNS
INSP. ROUGH N SERVICE
EST. COST S o PERMIT FEE T PD
REMARKS DATE PD. / /�j
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