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HomeMy WebLinkAbout1991-Building (siding, soffit & fascia) CITY OF OSHKOSH NO 26361 � PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑_ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - �- - - - - - - - - - - - - - " ADDRESS �"�z' N�"�`� PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK � -�' ti/ �'�� � f «�" � �if/h 1�k/ A/.gy( ` BUILDING C(O�NT� RACTOR� � � Size� Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit��/^ HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueliSystem 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 � • � •- `�l Permit Fee Paid $ �v Park Dedication $ ISSUED BY � - `� ��''�-� Date / 2 Final/O.P. In the pertormance of this wor I agree to pertorm all work pursuant to rules governing the described construction. �.f � SIGNATURE AGENT/OWNER ATE ADDRESS TEIEPHONE#