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1994-Building
/~~ /'~ CITY OF OSHKOSH N°- 38393 `'' PERMIT -APPLICATION AND RECORD TYPE: BLDG~TG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ~ ~ ff ~~__ ~~ (n~ ` r PLAN NO. OWNER S~iJ~ Grl~ / ~~ DESIGNER BUILDING CONTRACTOR '/ o/h- l~C~e`C/~' „~ Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^' Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT _ WH _ Disp _ WSoft _ CBasin -Lav -Sh -DW DF - WC - FDr - SP - Ur -Sink _. LTub _ Eject SS Other -San. Sewer_ -Storm Sewer -Water. FEES: Valuatio $ _ it Fee Paid $ ~~ r-- Park Dedication $ ISSUED BY Date ~ f Final/O. P. In the pertormance oT'fFiis work I agree'to pertorm all work pursuant to rules governing the described construction. SIGNATUR ~ ~~~p ~- --Q~ AGEN~TIO°W~NER DATE ADDRESS ~1~ ~ ~_ l "~~ ~~~ ~~~~ TELEPHONE #