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0031323-Building (siding)
~ CITY OF OSH KOSH N~ 31323 PERMIT - APPLICATION AND RECORD TYPE: BLDG~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - ADDRESS 2-0? ~ ~/A-I---/'sOt^ PLAN NO. OWNER Gt"JO ~ e SC 4. ({' p (;, r- DESIGNER USE/NATURE OF WORKSt= e!' ~'><-r ~ .:s;~':J ~-:~ <= h '7 ~~~ e _~^- ::) ~ ~-e..f. BUILDING CONTRACTOR .~, / e-r/;- Size Sq. Ft. # Rooms # Stories Class of Const. !!3 Height Occupancy Permit..-(' k Foundation HEATING CONTRACTOR I Heat 0 AlC 0 Vent 0 Fuel/System ----.. Heat Loss BTU'S Electric Servo ---- New 0 Change 0 Temp 0 Type_ Volts_ Amps_ c ELECTRIC CONTRACTOR Fixtures Switches Receptacles Circuits _BT c - DiS~---=:::"WSoft PLUMBING CONTRACTOR _Lav _WH _Sh _ CBasin _WC _FOr _LTub _OW _SP _OF - San. Sewer _Ur - Storm Sewer _Sink Other _ Eject _SS _ Water Paid $ Date /' ;fJ I" ISSUED BY Park Dedication $ Final/O.P. In the performance of this work I agree to erform all work pursuant to rules governing the described construction. ~f ~_" ADDRESS' S 7 3 7 (' .QQ..ue,-~~ ~Gf. ~ 6cf. /~--7'~ DATE ~33 -~S71 TELEPHONE # ' SIGNATURE