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0040844-Building (siding)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 1-1 I N2-40844 TYPE: BLD~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - i(;; ~- - - Ii, ~~-;~ - - itJ-~- - - - - - - - - - - , - - - - - - - - - ~~~ ~~- - - - - - - - - - - , I ~~ev-f-S{Or( OWNER DESIGNER USE/NATURE OF WORK S~ ~ '\ ~ (( I/-{ l,l I BUILDING CONTRACTOR ~A. kfJ .::!:'~ r e. It~e Size Sq. Ft. # Rooms 2t:-UA-~ f!'-t?U ePlA-e""-t:-~ I # Stories ~ S Height Occupancy Permit A,./{Y Foundation Class of Const. ! \... 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 "- _Lav _WH _Sh _FDr _ L Tub _Disp _DW _SP _ Eject _ WSoft _DF _ CBasin _BT _Sink Other _SS _ San. Sewer _ Storm Sewer _ Water _WC _Ur / I Paid $ ~~-;/ Date 7/c t h-y 7 ( Park Dedication $ -- ISSUED BY Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ /~ENT/OWNER J- At}.... 1'( DATE ADDRESS /d//> /-/'~/UL..~ ~P-/, :L~ / -~I I?, TELEPHONE #