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0030789-Building
CITY OF OSHKOSH N2 30789 PERMIT — APPLICATION AND RECORD TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS .21 ‘/ 0 �J PLAN NO. OWNER _ - /3.1/;(404.( DESIGNER USE /NATURE OF WORK X .41YRA -. ZWi a j� -ti-{,t .tQ / BUILDING CONTRACTOR ©i( Size jkIL____ /!_ Sq. Ft. # Rooms # Stories (�.w -0 Height Foundation c.drt- Class of Const. 45 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 San. Sewer — WC __ FDr _ SP Ur Storm Sewer _Sink — LTub Eject SS Water Other FEES: Valuatio $ 00 0 .0 o Permit Fee Paid $ 3s V Park Dedication $ ISSUED BY 4,1.1441,-- Date 7/ r/ '� / � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE j'illiott , Q/ f 7 /( 9' AGENT /OWNER `` DAT ADDRESS 2 & '40 S iter t(kY`, 5-7-- 233 -VI 9/ TELEPHONE #