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0006788-Building
� CITY OF OSHKOSH N° 06788 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN�HEIGHT�� � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I 2� � � � ���� � PLAN NO. OWNER � �- V` r— DESIGNER USE/NATURE OF WORK ` �- r� � �� C �' oE�N ' ��� F 1� c� �a � � ` � o � BUILDING CONT�RACTOR �c � " s Size Sq. Ft. � Z # Rooms # Stories �� Height _ Foundation ��c i�.� Class of Const.�_ Occupancy Permit� HEATING CONTRACTOR �� Heat ❑ A/C ❑ Vent ❑ Fuel/5ystem Heat Loss BTU'S ELECTRIC CONTRACTOR—L��i f' k� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOF��t � , I @- —BT _WH —Disp —WSoft CBasin _Lav —Sh —DW DF —San. Sewer WC —FDr SP Ur —Storm Sewer —Sink _LTub —Eject —SS —Water Other E'� �eJ ----� FEES: Valuation $ —� rmit Fee Paid $—��� Park Dedication $ ISSUED BY Date l "'�A - �� Final/O.P. In the performance of this work I agr to perfo all work pursuant to rules governing the described construction. , SIGNATURE ! ""'G`d � � AGENT/OWNER DATE : ADDRESS �.��� ��''`�'T}�o S � ��1 �S`7�7oS l� �,� 3`� �� �"v TELEPHONE# �