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CITY OF OSHKOSH N° 42811
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC (' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS • 3 !�/ . r� PLAN NO.
OWNER . Per- ,tea/
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Corist. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR C.L'71 ri14/
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 $ . 0-4900 Permit Fee Paid $ Park Dedication $
ISSUED BY )2 'i -� '�'��Li r .� - D a t e //4 / / Final /O.P. 7" 2 0 ~
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. Y"'" APPL. DATE
E]EC. CONTR. l.ie..rrrCyL
OWNER eciL� / / Ply
ADDRESS 3 /S - 9
NATURE OF WORK / �� /14 -uu-c
ELEC. SERV. (1_1/ CHANGE TEMP.
DESC. TYPE L/ /A. VOLTS 3 C i AMPS?'
FIX'S SW' RECEPT'S CIRC'S
APPLIANCES
SIGNS
0
INSP. ROUGHIN SERVICE FINAL7` /s f
EST. COST L O o O PERMIT FEED DATE PD 1/ /9 y
REMARKS
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