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00240 BLDG (Raze)
� CITY OF OSHKOSH No _ 00240 `' PERMIT — APPLICATION AND RECORD C�i�tFc.�ii� TYPE: BLDG,�] HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING r�� FLOOD PLAIN�� HEIGHT� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �a'� �" ��sr � PLAN NO. OWNER ���Q �U TA�N �/T DESIGNER USE/NATURE OF WORK ���"6 L-L T—�/�'l�L S� ��/ /�Z�� U/�i4TT�%�L�� ��/�4�E BUILDING CONTRACTOR ' Size Z ��� Sq. Ft. Z`"�� # Rooms # Stories Height Foundation Class of Const. U�d 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 �`' D FEES: Valuatio $ Permit Fee Paid $ ✓' '''-� Park Dedication $ N " ISSUED B Date � `a��� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �J 6-d y- � AGENT/OWNER DATE ADDRESS �O d� %l�-�u/ � �3/'r/'�l�,Z TELEPHONE#