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Home My WebLink About0042480-Building (siding & doors)/y /, CITY OF OSHKOSH N~ 42480 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT --------------C-~----------------------------------------------------- ADDRESS i ~~ O ~~ C.l~, PLAN NO. OWNER DESIGNER USE/NATURE OF WORK (~/-/`- JQC tl,N( SC~r~/~ lGUSiAC.C. ~/~~~. ~~ ...5'lDr~y6, ` ~.S /it..L~s ifGC- BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height 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 $ OZ ~ ~ Permit Fee Paid $ ~` ~ _ Park Dedication $ ISSUED BY Date / ; ~~~y '7~ Final/O.P. In the performance of this~ork 1 agree to pertorm all work pursuant to rules governing the described construction SIGNATURE l ` AGENT/OWNER ~ ~ ADDRESS ~ ~~X l.~(J ~ Ds~' C~~ ~~~~6~ y~I^_ TELEPHONE ~