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0028546-Building (siding)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 28546 ~~P_E~ _ _ ~L~~ A(- ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS / J J 2- iJ M/Tl..,e~1 PLAN NO. OWNER !irlJ.hL-;- 7 c-l~~ DESIGNER USElNATURE OF WORK/j?/-~ )1JUF ~r-d ,~~ h't ~ _.;f.J-rd/.2-<- +~T' ~~h<-C7U-~...~ +~~. A...--rr-. p BUILDING CONTRACTOR Size ,k? Foundation Br~~' Class of Const. # Stories ? / Height Occupancy Permit fi~ Sq. Ft. # 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 _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ 'S:;-- it:, :;-: () U Permit Fee Paid $ ~ 5"'0 c) V/ ISSUED BY ~,L,,<~ Dale q3/1 z....- 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/~l /~~ ' I ENT/OWNER $'- (;] -- C[ 2_ DATE ADDRESS TELEPHONE #