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( 416--) CITY OF OSHKOSH N° 33160
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC tgC PLBG ❑ SIGN, ZONING FLOOD PLAIN HEIGHT
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ADDRESS "' •. / 44 ` 1 11PL7CR' NO.
OWNER 0/1.-0--ile-4 '
DESIGNER
USE /NATURE OF WORK 'WA- ,4.4.■i►i`c.t --- cZ-' 7.4fi
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 flat/ D of 7 Eke c T 4'/ / /4/ c —
Electric Serv. New k Change ❑ l Temp ❑ Typ / , Volt l o Amps "-6e7 Fixtures Switches "<- Receptacles Circuits X (E:34--
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
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FEES: Valuation $ 67 C/ 1 Permit Fee Paid $ ..J Park Dedication $
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ISSUED BY 'Le Date 3 - 2-4 - < o 3 Final /O.P. 3 .3/ - 73
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
, ULe. -ce q SIGNATURE -2 Yom/
? AGENT/ ER DATE
ADDRESS / 6 W R O T s7 �' , P, L _ l - 2 - 2 - /5- fe7
TELEPHONE #
PERMIT NO. 3 3 ` Z • APPL DA 3 `
E C. CONTR. TOP D' •• L..
OWNER
ADDR S I i (/.' 7 ,< &!" / ' ? ° 1 fl
NATURE OF WORK
A - CHANGE TEMP.
_
C C. TYPE TYPE NEWS O - VOLTS / -' t..(0 AMPS i
= FIX'S
SW'S v ' RECE' S CIRC'S i
-- ANCES •
IGN V v - - i NS
NSP. ROUGH _N ERVI CE _
EST. COST
GL- PERM T FEE DATE PD °'
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