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0012497-Building (interior stairway)
(t) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 12497 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLD~HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- TYPE: OWNER 7~ 'fi""'- ¿J (4ß 4IJ ~ kc.;sr,pr- ( ~ PLAN NO. ADDRESS DESIGNER BUILDING CONTRACTOR tV I:.V ¡A f' .-- Size Sq.)'!. Foundation t;;;c t ':",. rt--- # Rooms # Stories Class of Cons!. 8"" (' V¿ , Occupancy Permit AYe> Height 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 Receptacies Circuits PLUMBING CONTRACTOR _Sink Other _FOr _LTub _Disp _WSoft - CBasin _OW _OF - San. Sewer _SP _Ur - Storm Sewer - Eject _SS _Water _BT _WH _Sh _Lav _WC ISSUED BY Paid $ /O.."Ð Date ~ -:¡> ,- 7 ~:>5'7' Park Dedication $ -- FEES: Valuatio Final/O.P. orm all work pursuant to rules governing the described construction. SIGNATURE ~ ~ ~. AGENT/OWNER ADDRESS ,;233 c.uJY :3 - ?-E? DATE -23 3~'7"¥R.$ TELEPHONE'