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CITY OF OSHKOSH N° 36403
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC7XPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / TO q / ‘ 7 4 O 9 4 PLAN NO.
OWNER /a t .4...4 - 4 ydo 4.7 1.a/'..."-t./
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Chios of Const. Oeekvericy Peenit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
Heat Loss BTU'S
ELECTRIC CONTRACTOR A.cf°C---
Electric Serv. New Change ❑ Temp ❑ Type 1 /4 Volts Amps / & ' Z / 2 _
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
____BT — WHH — Disp — WSoft — CSwis
Lav _ Sh _ DW DF San. Sewer
__WC — FDr __SP _ Ur _Storm Sewer
Sink _ LTub _ Eject _SS _Water
Other
FEES: Valuati $ 2 _ Permit Fee Paid $ 1S-.0 O Park Dedication
ISSUED BY .../.44ht�s -� Dote /0/ /,N 3 Final /O.P.
In the performance o , i- work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR. IJAIJ
Ac NT /OWNER /O _� ' � �
DA
ADDRESS
TELEPHONE #
PERMIT NO. 36 `f . APPL . DATE ,_ `-
ELEC. CONTR.
1/CK/ f X
OWNER - fiice`/ ALIALmadagmdAL-
ADDRESS _ / :9 - / o9
NATURE OF WORK A
r C. SERV. NEW X I CH •, GE TEMP .
Dt'SC . TYPE j — w i e- VOLTS ,l z Q/›- 4 a AMPS X U()
FIX'S _ SW 'S - RECEPT'S ." / CIRC'S
APPLIANCES g „ �
��
SIGNS _
INSP . ROUGHIN • ' - 7 -1- ' E - VICE D 4 1--- - FINAL 4 - '
EST. COS T PERMIT FEE DATE PD. O i. 93
REMARKS
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