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CITY OF OSHKOSH
N� _47921
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECX PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS O %1 1 i 7 e-L_ac.
PLAN NO.
OWNER
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
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ELECTRIC CONTRACTOR ///dx
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT WH Disp — WSoft CBasin
Lav Sh DW DF _ San. Sewer
- WC FDr SP Ur _ Storm Sewer
— Sink LTub _ Eject _ SS _ Water
Other
FEES: Valuation 00 tp O
Permit Fee Paid $ l � ' Park Dedication $
ISSUED BY Date /o/Z � f / J 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. � .APPL. DATE
ELEC. CONTR. /4,697. OWNER a lV iii t.(.r�
ADDRESS ° 1)1 /7J
NATURE OF WORK
ZLEC. SERV. NEW/'/v-c- CHANGE TEMP
DESC. TYPE a 6D VOLTS 2 AMPS
FIX'S SW ' S RECEPT'S CIRC'S
APPLIANCES
SIGNS �d /,V / 4
INSP. ROUGHIN SERVICE FINAL
EST. COST 2-O c • D O PERMIT FEE /J' DATE PD./oz y /9s
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