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0039139- Building (siding)
/ .//_ N2 39139 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 9q/ WOZ/It 64/e4/ PLAN NO. OWNER J err Do/en DESIGNER USE/NATURE OF WORK ( 79 ') / Sc — /my( s-7L fi( c v_ - f 64R41.6-: BUILDING CONTRACTOR OWL/0Z Size Sq. Ft. # Rooms # Stories Height ,/,� Foundation Class of Const. Occupancy Permit /'10 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 Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation Permit Fee Paid $ *©a' Park Dedication $ s../.._ L / ISSUED BY ,61 J7 4G�,f�� Date q ._rr Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE # f—/ /crJ1 21 - f7 AGENT/OWNER �yL DATE ADDRESS '4// /(/ LQ'/C ©- i((f�'T .s'- 70/ t3353.-' G-36o TELEPHONE#