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0044443-Repair Block Foundation
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD , '-II l- N!! 44443 TYPE: BLDG" HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , OWNER ~~ (VlAI<j( HuD~E)(0 ? .tiu~ I-IoFPf/Ylr<l lUst PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK (SAC) ~~\"R. ~GREl'b ~(JC "'FbOl-.J~T1~~ W~\...L O('-J ~c\L'\\\C=AC.'r ~ OJ:-! \-bJ'A-E.. ;j~~k" ~~':.\Ji)~~.~ ~'7~~~'''4v."U:.. ~""'"'~ Dv0\\.J~ BUILDING CONTRACTOR Size Sq. Ft. Class of Consti # Stories <Z:?' Height Occupancy Permit # Rooms Foundation ~o HEATING CONTRACTOR Heat 0 AlC 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 _WC _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _ San. Sewer _Lav _Sink Other _ Eject _SS _ Storm Sewer _ Water _Ur FEES: Valua.~ s~~ Perm. Fee Paid $ ISSUED BY ~<. Date 10. f212- / 4/111 qS- Park Dedication $ ..- Final/O.P. ----- ::A:::~ ~wo~ I ~~e ~ \\~:-k ~ffiU~ ro NI~ _i~ t~ ~c"~ =:~.ll -1~ \ ~:A.GENT/OWNER DATE ADDRESS >"> 0 {-\J '{) > c) ,,J ~~(,-'1 bO~ TELEPHONE it