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CITY OF OSHKOSH N° 36775
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC) PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / (' 17741,7..4.44.— PLAN NO.
OWNER e4.424-10-�. de.Gxy
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 e.{,..-F7A- yc i/ h- 1,1-41 1V
.c/
Electric Serv. New xr Change ❑ Temp ❑ Typo 4 Volts 3 "c Amps Zoo 0
Fixtures Switches Receptacles 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
FEES: Valuation $ 7-000 • A 0 Permit Fee Paid $ r° • 0 0 f
Park Dedication $
ISSUED BY ) Date / /h/q 3 Final /O.P. /o? • alO • 93
In the performance of this work I agree to perform II work pursuant to rules governing the described construction.
SIGNATURE /-- '° _ --- .. j �
/ � - .
46 - WNER DATE
ADDRESS
TELEPHONE #
.::r
PERMIT NO. 3 b 77S . APPL. DATE q/30 / f 3
ELEC. CONTR. &€/Jn e.y
OWNER .. lc/1 rt .f
ADDRESS / Z /7*4.4—
NATURE OF WORK �/J /f
RV . NEW / ( ANGE TEMP .
DESC. TYPE /' r, '0". VOLTS 20 Loa AMPS 2-0o
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN 9 SERVICE 0/'f0' FINAL /Lc /93
EST. COST 2DOA Q PERMIT FEE S el 0 DATE PD. i, IS,4
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