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Home My WebLink About0043579-Building (replace header over 1st floor archway) /�� No " 43579 n CITY OF OSHKOSH ` PERMIT -- APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS �� ' `c/�R�� PLAN NO. OWNER ��141� "-"'` l-`- ^ DESIGNER USE/NATURE OF WORK CEN6 E�I� O�J�YL s �C..cx�f� 2CJ�1�,c,rr9 ' vsr�v6 � - f� /y '� iG2o C�� O�/�'72- j? � ��Ui<c/v � ai ui nwr, r.nNrRar.TnR L�� i �� Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. � Occupancy Permit � HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S . ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fxtures 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 1 FEES: Valuation ��o � �� Permit Fee Paid $ �G� ��— Park Dedication $ ISSUED BY Date � �r�s��s Final/O.P. In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. t SIGNATURE �� / �� J � AGENT/OWNER DA �/a !y/�y��G't� ��,� -�a�t ADDRESS TEIEPHONE M � r�� OfnlidER ��/4/�I � ADDRESS ��(7 ��i�l'' DATE �� /S PERMIT # USE �l� ��i�,��'/� k consists of GENERAL CONTRACTO R r� \ — C-�,� �-�w� MASON .CONTRAC�'OR � ZONE Width ot lot DATE INSPECTIONS REI�tARKS 1 3U ,L �,c�l� �i� —� Si�4Ct,.� — ( � lC�?O -�C�OM �jc,.�' /C� � '=7v��v�:. J �'�/nI� C.UC�2 v L.��aU ca��-` �-(= o r- . ,�7� 7 :� C�i.-� c�l �LL ` .a O � -J � l SU,�(_ /N 7��'7c.r-� C�(u %� _�.�/�/S,�_ � ' ��? 'i�i/C� ' /� /b m _�%'%r�.:<.�� fi G*'V �y/� + 4 1�3�--r2 r�?/7�� t�,� l.t�C3/1-,K,, ._ I Front of lot MAZLZNG ADDRESS I � I ,� i I I i f i