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0013611-Building (raze house)
(t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 13611 TYPE: BLD~TG D ELEC D PLBG D SIGN D ZONING t£= FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS :;!z cJ C;-Sl~ ~PúS ~e PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~,,-~e t;' ~ "t--e eve 0 cJ e ./þO:$'E' BUILDING CONTRACTOR 'S"c£. ,¡/I-r Size~O¡<;J5 ¥ Foundation ~" r;:;:{;er. f' ~ ~ ~Ol"< ~(!¡'r:.:J # Rooms # Stories Ciass of Const. S ( Height Occupancy Permit ---.. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S r ELECTRIC CONTRACTOR - --.-.. Electric Servo New D Change D Temp D Type - Voits - Amps- Fixtures Switches Receptacies Circuits PLUMBING CONTRACTOR .~ ------- _BT _WH _Sh _Disp _DW _WSoft _DF - CBasin _Lav - San. Sewer _WC _FDr _LTub _SP _Ur _Storm Sewer _Sink Other _Eject _SS _Water Z.ð.oO Date :s--3 r ~f.i:J - Park Dedication $ Finai/O.P. m ail work pursuant to rules governing the described construction. SIGNATURE~~ ADDRESS n ( ¿). ~¿~ /Jð'~ ~'S,-,~ A ~ ~ 19~ (p <6"8-;),<f<ll TELEPHONE #