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CITY OF OSHKOSH N° 38784
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC,( PLBG El SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / O o 0 44-44;4, PLAN NO.
OWNER L .+liC4 �i}d/1—
DESIGNER
•
USE /NATURE OF WORK /7-�c.) G&h'
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 ,-
Electric Serv. New 3 Change ❑ Temp ❑ Type q A? Volts 3 N� Amps eD a 0
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT _ WH Disp WSoft CBasin
_Lax/ Sh DW DF San. Sewer
WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /7 0 OC), n 0 Permit Fee Paid $ /' 7 • s O Park Dedication $
ISSUED BY 4 9 AZZe. lve4 - Date WY /4 > 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. 3 7 f . APPL. DATE 3/2 z74' fY
ELE . CONTR. ('G
OWNER r�,, .c
ADDRESS AC a yee- - Clai.c
NATURE OF WORK /7 h' a
C. SERV NEW - � V CHANGE TEMP.
DESC. TYPE C.r VOLTS 340 I 1 AMPS ' D D
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE q 7 Y FINAL
EST. COST /']? (1.0 D. o/J PERMIT FEE (P7 co DATE PD. Y/5of4
REMARKS
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