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0047619-Building (raze)
/�l CITY OF OSHKOSH N� � 47619 � PER - MIT APPLICATION AND RECORD -� ��z� TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS "7d�� G��. 7 � PLAN NO. OWNER ��� r� �Y°i yt p�-��p� . DESIGNER � USE/NATURE OF WORK � � � ° ��F ot..ss BUILDING CON7RACT0 �0��°� Size Za x y0 I� , Ft, # Rooms # Stories Hei ht 9 Foundation ���r r Class of Const.�_ Occupancy Permit �t/ f� 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 !� �—l'� `r�'�/' _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 $ O � Permit Fee Paid $ r Park Dedication $ c ISSUED BY Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �" AGENT/OWNER q� ADDRESS TELEPHONE I