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Home My WebLink About1994-Building (raze) / �/ CITY OF OSHKOSH N� 42343 � PERMIT - APPLICATION AND RECORD � �� TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS l �� Q.l�'a�a" Q s1.e( PLAN NO. OWNER /�/' ��["��Le� ��K.tJ F.S�dL[E'K-�� : DESIGNER USE/NATURE OF WORK �'`-�-r E �-r� �'F�*�-��-� �e� /LYP�-t�� _S`1�-�-t.til"i3r'co� 4 � C1 _!a� BUILDING CONTRACTOR �tc��1 E?l� � 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 ` _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 rmi Paid $ Park Dedication $ ISSUED BY Date ' Final/O.P. In the performance of t 's work I agre t pe rm all work pursuant to rules governing the described construction. ___ SIGNATURE�=- ll- 2 �r�( . AGENT/OW ER DATE ADDRESS ` ��v � ��`�s� 3 U TELEPHONE*