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CITY OF OSHKOSH N ° - 37339
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a 7 0 ,y p�. "" ''C PLAN NO.
OWNER 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 g��T
Electric Serv. New 21_ Change ❑ / Temp ❑ Type cl Volts 3 tJ Amps 20 0
Fixtures Switches Receptacles Circuits
/7-.24!)
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 $ .2 C O ' 0 0 Permit Fee Paid $ o c . ° o Park Dedication $
ISSUED BY 2 ,14 " 1 " ...- O
Date /2/3o/ 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE d �i�`/ lif /a- s; j }�
/ AGENT /OWNER // DATE
ADDRESS
TELEPHONE #
‘/1
PERMIT NO. 37 33 f , APPL. DATE / 2.�9 3
ELEC. CONTR. tL' r ry(� /y
OWNER ,E%/,/-.4.44,(
Q
, ADDRESS c:
NATURE OF WORK )1„4;44),
ZLEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS 3c4.1 q`, AMPS Z,4r0
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN 33A c f SERVICE 4j FINAL
EST. COST .�5 -o, o p PERMIT FEE fS . o a DATE PD. W30
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