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0033817-Building (exterior)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION A,ND RECORD I'-?f 33817 TYPE: BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '. - - - - - - - - - - - - - - - - - - - - - - - - - , OWNER ! 0 f "Z...-, ~ {;i.A;'-L, LJ~ ~~.~ " , PLAN NO. ADDRESS DESIGNER USElNATUREOFW"!Rd'rlG J?~<-.J f~+- .J./~~/, ,!LA-dA-tfIA~,; f~f- ~~~ I V~~ I ('~ ItL r '+~"2-f? BUILDING CONTRACTOR (JUtyU.-1.. Size ~ Sq. Ft. Foundation Height Occupancy Permit HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other FEES: Valuation $ I D 0 V. {) 0 ISSUED BY ~ )t-iJA~ I PermO Fee Pojd $ ~O:AO;/ Date ~ f~J Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE \\ ~ 0' R~~J)..<---- ~1t~'(J D E ADDRESS TELEPHONE #