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HomeMy WebLinkAbout0039466-Building (siding) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 ILI/ - 39466 ADDRESS 1Y~E _ _ BL~~t( HTG _ f? _ ELEG _ f? P':BG _ f? _ ~'G~ _C: _ ZON~N_G _ _ _ _ _ _ ~~~D_ ~LAI~ _ _ _ _ _ _ ~~'~~T _ _ _ _ /~S-t NUBB4RD JEFF SCrlLA-AK s;r, PLAN NO. OWNER DESIGNER USE/NATURE OF WORK_(5'ff ) Hoc.) 5e /<leu D /AJ5JALL GAMe€'. Y; t'J (tL. t >lO/~ w BUILDING CONTRACTOR CJW'tJeJ~ Size Sq. Ft. # Rooms # Stories Class of Const. ~ Height Occupancy Permit Foundation #c . 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 _Disp _ WSoft _ CBasin _Lav _Sh _DW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ISSUED BY Permit Fee Paid $ Date Q:;c ~ J' s/16/Qf Park Dedication $ Final/O.P. r- SIGNATURE is work I agree to perform all work pursuant to rules ? v rning the described construction. 6~~ ;;-1 / DAT9'" c235-#7~ A ADDRESS TELEPHONE #