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CITY OF OSHKOSH N2 38788
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a.GA -L PLAN NO.
OWNER l
DESIGNER
USE /NATURE OF WORK 2 - Y G/"
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
4
ELECTRIC CONTRACTOR.�.uiYl2 L.2-72-
/
Electric Serv. New Change ❑ Temp ❑ Type N 793-77.7-
i Volts 3L4) Amps /E o
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 $ o 0 0 O, 0 0 Permit Fee Paid $ /9 2
3 i
7 Park Dedication $
ISSUED BY4r);(1-4"-v Date i gfr T" 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 #
6 3/
PERMIT NO 7
APPL DATE 31- y —
E C. CONTR.
1
OWNER _
ADDR S
NA RE OF WORK . ,/277, . SERV. L�i ` o TEMP .
CHANGE TEMP '
TYPE RECEPT'S CIRC'S
FIX' SW'S
- -L AN S
•
SI ERVI CE 1l0 `� F INAL�ir�
IN P P. ROUGH N '�
E T. COST „oo•o. PERM T EE 5`'O DATE PD .
R . o , r
o r r.
3,31