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HomeMy WebLinkAbout0025390-Building (siding) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 25390 ~~P_E~ _ _ ~L~~ A _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N? _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ If 3> ~ ;(~dhVt-d! ~~ 13~ ADDRESS PLAN NO. OWNER DESIGNER USE~ATURE O'WORK i~ Ift;;~~q m~ h-e1 ~ ~~ 170D )$ , BUILDING CONTRACTOR ~~ Size ~ Sq. Ft. Foundation Class of Const. # Stories! f'~ Height R Occupancy Permit ~J # Rooms HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other J FEES: Valuation $ & c.f() 0, 0 .:) Permit Fee Paid $ t,4u, 0<:) i ISSUED BY ~ JvL~ Date ~'" h / (; / Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNAruRE. ;;::: ~ . A ENT/OWNER ADDRESS -; t? ~ ,~p- ~--/?'9/ DATE c7~ (JJ -.7~.... nJO~ TELEPHONE #