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CITY OF OSHKOSH N° 34808
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ►7; PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a - . 4::2 PLAN NO.
OWNER 0 .
DESIGNER
USE /NATURE OF WORK (1
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 ...���� �" i i f y
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
t
Fixtures Switches fce tacles �- --'•'
P Circuits
PLUMBING CONTRACTOR
BT _ WH Disp WSoft
CBasin
Lay ._ Sh DW DF
San. Sewer
WC FDr SP Ur
Storm Sewer
Sink _ LTub Eject _ SS
Water
Other
as c C7 C
FEES: Valuation "'�— Permit Fee Paid $ „..,:e„ - �—
Park Dedication $
ISSUED BY ,r,61 Date Z___(... 7 --/ ? 9�
Final /O. P. !�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
411110 /
SIGN • I _ .&k.i -.. 9`/06
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
PERMIT NO. ' / ;D
. APPL. DATE 5 .Z-
ELEC. CONTR. i voLe...,e z „0 g4f"x
OWNER
ADDRESS F/4 (
NATURE OF WORK 6
ELtC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S pe RECEPT'S CIRC'S DID
APPLIANCES
SIGNS
INSP. ROUGHIN o SERVICE FINAL7- I.1
EST. COST SG f PERMIT FEE /O DATE PD. -/Z1)
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