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(4111-1.) CITY OF OSHKOSH N ° - 38787
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC, PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ` V 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 al--7-71 /iyrrr v S L.Z.- -
Electric Serv. New X Change ❑ Temp ❑ Type OA Volts 314) Amps /000
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 2 000 • O ci Permit Fee Paid $ / 2 • ' / Park Dedication $
ISSUED BY .1.. Date V /�/q /` Final /O.P. g 1 ' l `-f
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
<.
c 3/
PERMIT NO. 3O 7 7 PL. DATE
ELEC. CONTR. (.01'�
OWNER �� �.r4 u
-ADDRESS f 7P0
NATURE OF WORK /J 7 � �} ii G
ELEC. SERV. NEW /( / CHANGE TEMP.
DESC. TYPE (p4�
FIX'S SW'S vl VOLTS '3 AMPS / to t d am
RECEPT'S CIRC'S
APPLIANCES
L/
IGN SERVICE P/I1 Imi
NSP. ROUGH N
EST. COST 07,0o0-00 PERMIT FEE / 2i 0 DATE PD. v ./ "f
REMARKS /7j; -,,,,,
/ P '?.TD
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