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0012425-Building
(t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 12425 TYPE: BLDG~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING ~ FLOOD PLAINd HEIGHTAP.¥- - - - -.. - - - -.." - - -........ - -...... -.. -................ -...." - - -.." - - -.. - - -.." - - -" -...................... ADDRESS ¿33 hJ - I Jj rf:l /u-e. Kli.:s'þer I PLAN NO. OWNER ~ W\..- , DESIGNER Size Sq. F!. Foundation 'If[ y: r'::<f- <9cu v-.e ¡- # Rooms 7f-{£"fl # Stories //z..- Height Ciass of Cons!. &-. Occupancy Permit /(Jf) BUILDING CONTRACTOR HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System ---- ----- BTU'S ~.... Heat Loss ELECTRIC CONTRACTOR DreW,. @ r- Electric Servo Fixtures New 0 Change 0 Temp 0 Type - Voits - Amps- Switches Receptacies Circuits PLUMBING CONTRACTOR --------- _WC _FDr _LTub _Dlsp _WSoft - CBasin _DW _DF - San. Sewer _SP _Ur - Storm Sewer _Eject _SS _Water _Lay _WH _Sh _BT _Sink Other it Fee Paid $ / t), ,,9 Date 2 -?7~8i Park Dedication $ '---.. Final/OP. ISSUED BY ~ I In the performance of this work I agre to perform ail work pursuant to rules governing the described construction. ADDRESS ~Lv\~ 2'33- Lu,\,\"1'\ ..;;{" :;¿ 7-53 ý: SIGNATURE AGENT/OWNER OATE £n-'IVf?3 TELEPHONE #