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HomeMy WebLinkAbout0004494-Buildling (siding & windows) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 04494 TYPE: BLD~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING R (B FLOOD PLAIN (O..t d- HEIGHT AI J A ........... --- ...--.. --.......... --.. -- ---....... --.. --...-.. -- -- --- --- -- ...-- -- --.. ---- --'" ----... ADDRESS l B l Q H- ( ) R~bR-D :sz-: OWNER R. \C.JjAJ~{) tsl'COt.U,J PLAN NO. , BUILDING CONTRACTO DESIGNER Size # Rooms # Stories Class of Const. .,1:/-- p Foundation HEATING CONTRACTOR 1\Jo,.,J'^- Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR 1\ )O/VA- ,- Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits '''''-'';'' ,',_."'"'" ;:",,,,: .,,~, -,'- .' '.c_'_cu,.'.'~,;,~",'".'~,;,.:",:;:,.:,:"'M.,~,,,',",.j .~:, ""_,'"C ..".,;",,_,,;,_0_>"; ',' ,.."<_ "":'.'" ,"~'. '.:.'.' ", ",_,;_,._,,, .", PLUMBING CONTRACTOR (LJ (') ^ /~ _Sink _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _Lav _WH _Sh _ San. Sewer _BT _we _Ur _ Storm Sewer _ Eject _SS _ Water Other Permit Fee Paid $ Date I 525 J 7-g-J 7 Park Dedication $ Final/O.P. ,A.) I A In the performance of this work I agree to perform all work pursuant to rules governing the described construction. . ".._~~' SIGNATURE [)~ J,....lvnJU AGENT/OWNER 7/ {ACr? ADDRESS 3 :A t? q J-. 1!2..2l. fl . /1ft~-(..,(..~ - ;; ft( -0 1'). t~ TELEPHONE #