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Home My WebLink About0030472-Building (misc. repairs)_CITY OF OSHKOSH N°_ 30472 PERMIT APPLICATION AND RECORD TYPE: BLDG ~HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ---------------------------------------------------------- ADDRESS ~ ~~ r~.1no L. t~ PLAN NO. OWNER ~ ~~a~ICY ~cz ~~ /~ DESIGNER USE/NATURE OF WORK~~ ~~ r f~ BUILDING CONTRACTOR ~ ~ m~.c, Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR - BT - WH - Disp - WSoft - CBasin Lav - Sh - DW - DF San. Sewer - WC FDr SP - Ur -Storm Sewer -Sink - LTub -Eject - SS -Water Other FEES: Valuation Per ee Paid $ f © ~ Park Dedication $ '-'-'--~ ISSUED BY Date ~ Final/O. P. In the performance of this work I agr~to q~rforr~n all SIGNATURE to rules governing the described construction. AGENT/OWNER ~-Z~ ~ Z DATE ~$~ - 7F~ TELEPHONE #