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CITY OF OSHKOSH
N_ 39410
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X(SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0145 M O I LJ a',(JEJ
PLAN NO.
OWNER 56 U QJ k tt uru
DESIGNER
USE /NATURE OF WORK -Ae id . W I-/
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR .&L"- L pa,n. -.)0rn.
BT / WH Disp WSoft CBasin
e/
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $. 9, d 0 Permit Fee Paid $ /D • Ua A/ Park Dedication $
ISSUED BY Date b J97 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 / aAVII /� � -
/ ;; AGENT /OWNER a `�
DATE ��
ADDRESS LOS 05.0 Paivls... 0 L (I _ / �J
TELEPHONE # C!