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CITY OF OSHKOSH ' 4 i Z-76
099
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS -3 7 eo ___ // � PLAN NO.
OWNER l k Cc— ,.�..4� %
DESIGNER r
USE /NATURE OF WORK I � JJ
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 ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR _ f
BT — WH _ Disp ._ WSoft — CBasin ''
— Lav Sh _ DW — DF — San. Sewer
— WC — FDr _SP _ Ur — Storm Sewer
Sink _ LTub _ Eject ._ SS — Water
Other
FEES: Valuati n `� 0 , d � 'do . 0---a
o $� / Permit Fee Paid $ Park Dedication $
ISSUED BY ' Date /���9�
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
`.. ' /'"'V
SIGNATURE /1-.4(!4( • � � AGENT /OW
` DATE
ADDRESS I
TELEPHONE #