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0007372-Building (raze garage)
� CITY OF OSHKOSH N° 07372 ` PERMIT - APPLIC ION AND RECORD x�(Z GZ,� TYPE: BLDG HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN�HEIGHT ❑ ❑ � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS l ��� ��4� 1 �69�— PLAN NO. OWNER /��"�-� �I� f"lC9G-� C—� DESIGNER USE/NATURE OF WORK � � v BUILDING CONTRACTOR (�r.�Q f�� f"— Size Sq. Ft. # Rooms # Stories � Height Foundation ���� � Class of Const. � Occupancy Permit_Q��— � 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 � �� Per e Paid $ � Park Dedication $ ISSUED BY Date �'�/� — ��' C�l Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR i�� 3 -�� - ��' AGENT/OWNER DATE : ADDRESS f( 2 � �C � � �-��� � � � TELEPHONE# �