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0002815-Raze house
~ TYPE: BLDG D CITY OF OSHKOSH N2 02815 PERMIT - APPLICATION AND RECORD tN'eFLktAlG . HTG D ELEC D PLBG D SIGN D ZONING /Vt-3 FLOOD PLAIN ~~r-HEIGHT ,iJ 1/7- ~ - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS '2 Z-C}O OWNER 14 f t..:;7oAi /jA~Lr0AJ !lAIVA..) t S , I S::7 PLAN NO. 5193 JC!.- Ck?::. J'G,.J S'-r: DESIGNER USE/NATURE OF WORK :;::;/'/uC- C;[ ,t;., ''-7' ~o=r--<- ~= .!Ie tI JA-. BUILDING CONTRACTOR ;;~6 -.22'),~ ,.{./L- Size2<f'>cZY Sq. Ft. ~"76 # Rooms # Stories Class of Const. -:J:)? /'/2-/ Height Occupancy Permit jar ~~W t'VlO Foundation HEATING CONTRACTOR ,;U qv-<. ( Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR .A...J()d<" Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ?' _BT _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _ San. Sewer _WC _FDr _LTub _Ur _ Storm Sewer _ Water _Sink Other _ Eject _S$ ISSUED BY Permit Fee Paid $ Date / ~ , /oV Z "'-~-8'1 Park Dedication $ AlIIJ.-. . Final/O.P. Z-- 25-R? (f-- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~<~ V~d AGENT/OWNER ADDRESS " ! cc '3 (~ J5L ;z-t, '- <9 '7 DATE cM~L ;J3 J " (( I ~I::.) TELEPHONE #