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HomeMy WebLinkAbout0021322-Building (siding) (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 21322 ~~P_E: - -~L~~K-~T~_C?- ~~E~_C?- ~~B~_C?- ~I~~ -~ _~O_N~N~_~- _F~~~D_~~I~~- ~~I~~T~ 7 I ~ /?:;d/ ~ .~ S7fCt ~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~ ~ ~rr.J~Æ/h-Z;~ <~ A'/?.I-W"" /::j;úil _d<~ a...ú~ ~ .-/~ 13 ~'! BUILDINci?Q~RACTOR ,;¿;~~ Size~ Foundation Sq. F!. # Rooms # Stories Class of Cons!. P I Height Occupancy Permit ~/á 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 _Dlsp _DW _WSoft _DF - CBasin -Lav - San. Sewer _WC _FDr _SP _Ur - Storm Sewer _Sink Other _LTub _Eject _SS _Water ~ermit Fee Paid $ ~, tJé) Date 1t/2..-/"1ô , Park Dedication $ Final/O.P. ISSUED BY In the performance ot this work I agree to perform all work pursuant to rules governing the described construction. "O""'" :&:~ ~ ~ AGENT/OWNER ADDRESS )0" 5 ?n~ ()~----- ---y; ðV":< ) '1 <h // OAT;) JV ..:J 3-:;- - tJ) (j <c TELEPHONE #