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0041001-Building (lower level)
NO CITY OF OSHKOSH N2 41001 O OS OS PERMIT - APPLICATION AND RECORD TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 3/02 i _ r PLAN NO. OWNER P...)ze,h Ccit-- C / iciU DESIGNER / N , , USE /NATURE OF WORK SS V / S n cFf (c C/� / Z Ors A qv/lb �6/..._ hivg (iOO SCE /n16 AR - malty Jeer) a i .C7C)C- e Q/1&( OA/ y_i__ BUILDING CONTRACTOR R5C-1 Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR / /2Ew4Z Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR C Cyti 6_J6$ Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR <<if N - BT _ WH _ Disp _ WSoft _ CBasin - Lav _ Sh _ DW _ DF __San. Sewer - WC _ FDr _SP _ Ur _ Storm Sewer - Sink _ LTub _ Eject — SS — Water Other �^ ©„Q ✓ FEES: Valuati Permit Fee Paid $ �J' Park Dedication $ if ISSUED BY ell t C Date e /(1L / 9( 7 Final /O.P. In the performance of this work 1 a ree to perform all work pursuant to rules governing the described construction. -..)/ SIGNATURE - 47/9Y AGENT /OWNER DATE ADDRESS TELEPHONE #