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0040479-Building (beams/pad/piers)
/LiO CITY OF OSHKOSH N2 40479 PERMIT - APPLICATION AND RECORD ~P_E: - _~L~~ Þ1_~T~_C?- ~~E?_C?- ~~B~_C?- :I~~ -~ - ~O_N~N~- ~- _F~~~D.~~I~~- ~~I~~T~ ßtLDw IN Lr:fiIJIJE [XXVUfV& .et) ADDRESS /13 (YJ RS " OWNER PLAN NO. DESIGNER USE/NATURE OF WORK~) f?~Céf) r;&?A!i/1 f ArVD /AJ5íì<1U- ~ mT ( Dr> IIJ UV\WL '5PAc/E". . ~ I ()/2/J 1ID UJ:;ú() (PADS l4«.JD PIG7('5, BUILDING CONTRACTOR CÐ~o¡xJ Size Sq. Ft. Foundation €J..;SI!E # Rooms #Stor~ Class of Const. Height Occupancy Permit ßO HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo Type - Volts - Amps - Fixtures Switches New 0 Change 0 Temp 0 Receptacles Circuits PLUMBING CONTRACTOR _BT _WSoft - CBasin - San. Sewer _Lav _WH _Sh _WC _Sink _FOr _LTub Other _Disp _OW _OF -SP _Ur - Storm Sewer _Water -Eject _SS ISSUED BY Permit Fee Paid $ Date / blJ. ar:t2 i ?/ /'-I) 9Ÿ . Park Dedication $ Final/O.P. SIGNATURE ¿v:Þ:n~ ADDRESS ~ 8. £10 ,w- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~ /¡; ~ fitf, ///r :3 C( ,,{ ( It 13 ./ /£... ol,]/- ?,P7 (; TELEPHONE.