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Home My WebLink About0043434-Building %yl� No - 43434 /`'� CITY OF OSHKOSH ; PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS _ / �� <� 7 �� /QI�C, PLAN NO. OWNER / �l/CN/'�EL 9� �(3NNI� �¢'IUC,� DESIGNER USE/NATURE OF WORK �s�� `�STAL- `��1� � �M�E /�t.l.. WFaL� �i�,s��, �� i�sr..�w r E �Eu��zE . '�E�cc��Cz. ��tfZcx�'1 , .C.Z.-2� �x;z,�.�S ' . , �4�� ti�t-� /V� ('�/��7"ST BUILDING CONTRACTOR �� Size Sq. Ft. # Rooms # Stories Height : Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR NI� Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits �Z : 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 / �— �32 FEES: Valuation 3�� Permit Fee Paid $ d � Park Dedication $ 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 ` f� �'s AGENTiOWNER DATE ADORESS �F�3/ C�y �l V v �Pf��. � �¢/�� /7.� TELEPHONE t r oratlER-��(`l`�f�QQ �-�'1'�lni0 �� nxESS ��o �r�l 1� �.4� { DATE I—I I-qJ PERHIT #��3�3y USE �F R ; r' WoYk consi ts of � GENERAL CONTRACTOR �� ' ` _ € 4 MASON .CONTRACTOR ' ZONE Width o� lot DATE INSPECTIONS •/' REI�IARKS ��/ ,, ` 7 // 9.� �i`�-a� i/T.r�i c G�rb a �r9�.�$" �'_c��'�!/ ; .�mr ear-/r'eI��JScy`F- � ws�S " ` h4 At.�!� Gccrc, b�te "V�o`� !kSb�C 7�/'O�S. Z a �....�1�� i! r� n.►.e.. o� '�'; k +' 7�� .��! 7 7 b .D�' sto o�� Q�' � �w�� s.� 0 t ,.� m � `� [� i Front of lot MAII+ZNG ADDRESS