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0037183-Building (siding)
~ I :i!.. 37183 N~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG}{f HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _"w _ _ ADDRESS /<61(; f]40L ote.ctllRD \JR. ?#IC.i.. J ps PLAN NO. OWNER DESIGNER USE/NATURE OF WORK IIJSf'ALL NEk! AwMINU/Vl SlOING;, / BUILDING CONTRACTOR Size Sq. Ft. Foundation UtJ (ell # Rooms # Stories Class of Const. 8 If Height Occupancy Permit ~ 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 . I JC) t'o/l g;z FEES: Valuation $ ., t0V, ISSUED BY ~fi.1... &~ Permit Fee Paid $ Date / :5bco~ { J ;xl 10/ ~ 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 ~J . ~ I ~. AGENTIOWNER U1,~k ,)737 - ~ /d/~~/r3. d.33~6 S'7 / TELEPHONE # ADDRESS