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Home My WebLink About1990-Building (siding) � _ CITY OF OSHKOSH N° 19362 PERMIT APPLICATION AND RECORD TYPE: BLDG [� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � _ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ` ^ ` � ' . � . c��l�l�!'t . BUILDING CON�"RACTOR Size Sq. Ft. # Rooms # Stories _L Height Foundation Class of Const. O Occupancy Permit�_ 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 $ �� • � Permit Fee Paid $ ��' �� Park Dedication $ ISSUED BY Date �, ��'1�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR E /OWNEA TE '�C� �� /1�L e.�� ADDRESS o /�l� ��'S�'D� V� TELEPHONE#