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. CITY OF OSHKOSH N° 18653 n PERMIT - APPLICATION AND RECORD TYPE: BLDG��HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � /� i ADDRESS � ���/ /C_l'� d-'� �d l�-��i-� PLAN NO. OWNER �r-'S��r '�-��- n `` S DESIGNER USE/NATURE OF WORK ��-��. / J'� x �S� --&'�� �- '"`�� �����p Z /���`'r ���• ���c1 '-X� �U�,["F'r.-��' � �� �. 6'zo0.:�-�-.( . �G'_�{'�Q`c� c��- � � /� q BUILDING CONTRACTOR ✓t,�- /�l.%- G�`c Siz ��� �'"i"Y Sq. Ft # Rooms � � � P'��( # Siories � Height�T �1 ` �� Foundation -��cs<-� `it-�...�C� Class of Const.� Occupancy Permit "��" HEATING CONTRACTOR Heat ❑ A,�C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR L+J''" YF->—K� Electric Sero. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits ci i innainir rnniranrTnR t � w�-�n�G— BT —WH —Disp —WSoft —CBasin —Lav —Sh —DW —DF San. Sewer WC —FDr —SP -Ur -Storm Sewer —Sink _LTub —Eject —SS Water Other FEES: Valuatio - � �c � per � Fee Paid $ —� � Park Dedication $ �— ISSUED BY � ' �� �� D � - Final/O.P. In the pertormance of this work I agree to perform all work pursuan. :o ruies governing the described construction. + �J �p���y�,� SIGNATURE V � O � S� �� =F/l � ��JNI ��.(�""a"i'Vl/J c � �L� AGE 'OWNER DATE ADDRESS I l a� W-Ll C`.CSUI �(%�'�-� �J I � [ /VI <��" U l TELEPHONE#