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HomeMy WebLinkAbout0030096-Building (siding) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 30096 l'. ~PE~ _ _ B_L~~_ ~TG _ 0 _ ~~EC _ 0 _ PLB~ _0, _ ~'~N [=! _ ZO~~NG _ _ _ _ _ _ -"~~OD P~'~ _ _ _ _ _ _ ~~'~~T _ _ _ _ _ C{ot td/~(1~ OWNER //~ /A~.M-- DESIGNER USElNATURE OF WORK j /;'e )1,'#1 ~d -~ · ~4d~j~ (/z- r , / ADDRESS PLAN NO. V/ILAA..lf: BUILDING CONTRACTOR /tI~4' Size ry- ~ Ft Foundation &yo # Rooms 7 # StoriR. -z..- Height Class of Const. r Occupancy Permit fi; HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo Fixtures New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Switches Receptacles Circuits PLUMBING CONTRACTOR _Sink Other _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _WH _Sh _ San. Sewer _BT _SS _ Storm Sewer _ Water _WC _Ur _ Eject ,Permit Fee Paid $ / 30.oJ I pltlj,z" Park Dedication $ Final/O.P. ISSUED BY ~ Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ .J -!/-'l.J---- r-/ om ADDRESS l/ TELEPHONE #