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HomeMy WebLinkAbout0030574-Building (siding) ~ CITY OF OSHKOSH N2 30574 PERMIT - APPLICATION AND RECORD ~P_E~ _ _ ~L~~ ~ _ ~T~ _ C? _ ~~E~ _ E? _ ~~B~ _ E? _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS (72.-3 N~ U-- PLAN NO OWNER UJD4j?f/ ?~,d:1d--r/ ....---".. DESIGNER USE/NATURE OF WORK /';::K ( h..wJ t/vitd~ BUI~::G ~TOR Sq. Ft. Foundation Class of Const. # Stories ? Height Occupancy Permit ~ # 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 _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ LTub _ Eject _SS _ Water Other ISSUED BY 3.- Permit Fee Paid $ ..1.0.) . DateCf/~1i L.- , .. ;,.// FEES: Valuatio 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~~ fJoZ ~ _ GENT/OWNER q-3- ~;2.. DATE ADDRESS TELEPHONE #