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0041402-Building (siding)
~ I.!!L CITY OF OSHKOSH N!! - 41402 PERMIT - APPLICATION AND RECORD ~P_E~ - _~L~~ fX- ~T~_C?- ~~E~_C?- ~~B~_C?- ~I~~ -~ _~O_N~N~_~- _F~~~D_~~I~~ - ~~I~~T~ "d53 W' /L/+h AV&, .1Ã y /YJA51FR so;J USE/NATURE OF WORK (5J-7è'> AW/I1, 7R.IM Ot<J PLAN NO. ADDRESS OWNER DESIGNER /AlS'ÎACC ¡/¡rvfjL S/i)/;.;$ OJ-.) HoosE" .só,;::'rlf"5/ ffilSC¡A. ¡qiiJD W IN1)()I:.v<;' - , ~ BUILDING CONTRACTOR Size Sq. Ft. U? DA\t (' ~s-nCuLI\(c::,¡() # Rooms #Stori~ Class of Canst. Height Occupancy Permit !IJo Foundation HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps - Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _WC _Sh _FDr _DiSp _DW _WSoft _DF - CBasin _Lav - San. Sewer _SP _Ur - Storm Sewer _Water _Sink _LTub _Eject _SS Other ~QQ FEES: Valuatio~ ~ Permit Fee Paid $ ISSUED BY 'AA 1ï ~ Date I ólo~ of2 /' ¡¡soh'! Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ':; SIGNATURE ~.<1 ~/ ~J~ /' AGENT/OWNER 0.-1'" ?J-91Y DATE ADDRESS nÅ""'J":.:? ----;- - ¿<--.J /.ÿÀ ~ o:?-?/- -tm5' TELEPHONE.