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CITY OF OSHKOSH N2 41233
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC% PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS O / 1 414/4-e.A/0 PLAN NO.
OWNER
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 0 �(ac,2,#7z.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 / C` O Permit Fee Paid $ / S - da Park Dedication $
ISSUED BY rLx Date 6� "/S Final /O.P.
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. W2-33 . APPL. DATE 0-
ELEC. CONTR. /.04Y-14
OWNER
ADDRESS S1/2-
NATURE OF WORK at a
ELEC. SERV. NEW ( CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
N P. - OU ERVI CE FINAL •v° t'
•ST RM T F E S`.D DAT PD. &FT x
REMARKS