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HomeMy WebLinkAbout0033193-Buildilng (siding) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ /'ft 33193 ~P_E~ _ _ ~L~~ ~ _ ~T~_ ~ _ ~~E~ _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS ftf',~ ~ . ~~~ USEIN~;:::;:4~ ~.t#:L .n/ ~ ~K74 ~ PLAN NO. OWNER DESIGNER BUILDING CONTRACT~ r~ Size ~ Sq. Ft. Foundation Class of Const. # Stories I c? Height Occupancy Permit # Rooms ~~ 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 _Sink Other _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _ San. Sewer _Lav _WH _Sh _BT _WC _Ur _ Storm Sewer _ Eject _SS _ Water ~ / :J.r.a .0 { 3/z,9/r ~ Park Dedication $ Final/O.P. 99'..1-:- OOpermit Fee Paid $ .,. ISSUED BY Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE L f! 1c C2: ~ ';(?ENT/OWNER DATE ADDRESS TELEPHONE #