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0045041-Building (siding)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD L4/ Ng 45041 TYPE: BLDG. HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9Q5 /izqRAJ~ WALLY HEP~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK (SF'K; ;N...uMTtUN\ ~ ::tJ.~~,,\...L G0(I'->~ VIW:jL S\.D~~ ( CA~~ ~.. I t:2D ~ l_~ BUILDING CONTRACTOR Size Sq. Ft. Foundation Class of Const. # Stories g (J Height AD # Rooms Occupancy Permit 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 _Sh _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _ San. Sewer _WC _Ur _ Storm Sewer _ Water _Sink Other _ Eject _SS I / ~.. c&? / 51 /,f;/ qS- , Park Dedication $ Final/O.P. - ~rocO FEES: valuatio~ . ,~ Permit Fee Paid $ ISSUED BY <;::~_ Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU~-'?7~ t?t./L ). AGENT/OWNER 5-/8-. tJ s- DATE ADDRESS 6?3? ~~A~n ~L~ oaI~%JA, ~d.~-9'J9'S/ TELEPHONE II