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0033197-Building (raze)
/� � � CITY OF OSHKOSH N° 33197 : `' PERMIT - APPL�ICATION AND RECORD � G� � /� � TYPE: BLDG ❑ HTG�C ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� �(� • -%� PLAN NO. ' OWNER ��'c'� A�[�J�'`'/�iLcE�it� DESIGNER ' USE/NATURE OF WORK _ �D� Z� I C�it �2L�C D�-S�P . 1.�� ��. � /',�.��U-- BUILDING CONTRACTOR CJ Lc�s-i�t Size�� k �-d Sq. Ft.� � # Rooms # Stories � Height Foundation �°"_"�— Class of Const. � Occupancy Permit�l�/o 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: Valuation $ �—d''— Permit Fee Paid $ ��" �� Park Dedication $ ISSUED BY Date 3�T y Final/O.P. � In the performance of this wo I agree to perform all work pursuant to rules governing the described construction. SIGNATUR AGENT/OWNER DATE ADDRESS TELEPHONE#