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1994-Building
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD £¡;llm/¡tOO TYPE: BLDG Õ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- Ibtj~?-- N2 39751 HEIGHT- .. -... - - - - -.. - - -. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - -- OWNER 5d3 fA) , c.¡~ R ¡c l-f-A-tê.;D ~ \~ ç PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK R rr-Ze. Ol Vld rt"(Y1.0U e SP a \Ilr) d p ftîCkë é) (JOt VZ't~ ~ dwel If nCj BUILDING CONTRACTOR Size Sq. F\. # Rooms # Stories Height Occupancy Permit Foundation Class of Cons\. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps - Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _Disp _WSoft - CBasin _OW _OF - San. Sewer _SP _Ur - Storm Sewer _Eject _SS _Water _Lav _WC _FOr _LTub _Sink Other FEES: Valua ISSUED BY Permit Fee Paid $ IO~ Date 6 -{-1 Ý Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE t1ðf~ /( ~ .52 "7 a/; 'T'7?f ~/ ð-/-/:y DA'It ':<'33- Z2CJ9 TELEPHONE # r ADDRESS PERt'lIT .. ADDRESS 93 W. c¡ f/1 USE fb1A.E +- GAIP16€ ~ (f)r~- WoYk consists of OWNER. DATE GENERAL CONTRACTOR ZONE MASON CONTRACTOR Width of lot----- I ... 0 .... ... 0 .s: ... a. Cþ CI \ - ,- ~ DATE 1-/æhtf í§.(; Front of lot ADDR£'SS