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CITY OF OSHKOSH N°_ 32389
P ERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ,'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 53 An O -; ( PLAN NO.
OWNER Q! / ) f2,
DESIGNER
USE /NATURE OF WORK - ah.)1
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
Pr 3
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Y Receptacles Circuits X
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
a v L V
FEES: Valuatio $ Permit Fee Paid $ /C ,--------
` C"" ^ Park Dedication $
ISSUED BY Date `4 i / Final /O.P. / — I 1 7 - 3
In the performance of t .w I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / ®Y/ �r
'' (1) 6
/ AGENT /OW R / 11/ ATE
ADDRESS
TELEPHONE #
PERMIT NO. 3 . - P . •ATE
ELEC. CONTR. l \'
OWNER OEt
ADDRESS Y.3— 9 22 --
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
pESC. TYPE VOLTS AMPS
FIX'S SW'S _ RECEPT'S CIRC'S
APPLIANCES
SIGNS
N. • . ROUet ER
EST. COST 5 0 PERMIT FEE lam' DATE PD. /
REMARKS
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