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Home My WebLink About0030791-Building (porch/siding/interior) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 30791 ~P_E~ - _~L~~X-~T~_E?- ~~E~_E? - ~~B~_E?- ~I~~ -~ _~O_N~N~_~- _F~~~D_~'-:"I~~ - ~~I~~T~ ADDRESS hOe¡ ~ PLAN NO. ~K~/' f . OWNER DESIGNER "~=r!l~ -~4!f;~ ~ ~ ?1 J-d:; ~ ~ -/-&L~ IÚ- ,"""'NO ~O, C!tp.€A Size Sq. Ft. Foundation (I J')A- # Rooms # Stories Class of Const. ? , Height Occupancy Permit AiD HEATING CONTRACTOR Heat 0 NC 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 -Sh _Disp _WSoft - CBasin _DW _DF - San. Sewer _SP _Ur _Storm Sewer _Eject _SS _Water _Lav _WC _FDr _LTub _Sink Other FEES: Valuation $ 4':)oO,(é) 0 Permit Fee Paid $ 30.00 fI'/ ISSUED BY ~ «hl(~ Date 1 /2--1 Ie; -z-- 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~'" /(cyr /J¡ AGENT/OWNER ADDRESS 9- dð - c¡ d- DATE IfdG -38"7 TELEPHONE'