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CITY OF OSHKOSH N2 45407
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS M o re k 0,find PLAN NO.
OWNER 2€Cj DESIGNER
USE/NATURE OF WORK ajfer 1---1 eC `C
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 ) - yU I ri rj
_ 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 $ g r i) o 00 Permit Fee Paid 1 l� o C
a d $ Park Dedication $
ISSUED BY Date 6 Final /O.P.
In the • - _ • : = • this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
AG: T /OWNER DATE
ADDRESS
TELEPHONE #