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CITY OF OSHKOSH N- 4'1' 950
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC
K PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS l al b fi rt-- v – PLAN NO.
.'
OWNER•/ 2
DESIGN ER
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
ELECTRIC CONTRACTOR efe- 14(1 -01 j��ec -4.'
Electric Serv. New p Change Temp ❑ Type Volts Amps
P
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 $ (P S O.O o Permit Fee (S 'o ° I
ee Paid $ Park Dedication $
ISSUED BY i i 41.4,4"-s_...--- D /0/6 /5 y 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. i ( 4 0 . APPL . DATE
ELEC. CONTR. d e.... 6i" �/�/
OWNER � . � p .¢4%»L (A
4r
ADDRESS / 2
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL Oo t�
EST. COST 2-$ . a-� PERMIT FEE /S.o.� DATE PD. Ai ei�f
REMARKS