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0029805-Building
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 29805 TYPE: BLDG'~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS 5 3 I ~ 7£7 K h~ ~~'5~~;~~t~ PLAN NO. OWNER BUILDING CONTRACTOR tØ (~ Size ~ Sq. Ft. Foundation # Rooms # Stories Class of Const. Y z.. Height Occupancy Permit ~ ' HEATING CONTRACTOR Heat 0 NC 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 _DW _WSoft _DF - CBasin - San. Sewer _Lav _WC _FDr _LTub -SP - Eject -Ur _Storm Sewer _Water _Sink Other _SS / I 1/' Permit Fee Paid $ltJ.(1() Date 7,/l.J.kl../ Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /Jr( ~ rWo /. ~ ~WNER DATE ADDRESS TELEPHONE #