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Home My WebLink About1994-Building (siding)'~ /, CITY OF OSHKOSH N°- 39872 `'' PERMIT ~ APPLICATION AND RECORD TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - -~/J- - - -/--~- ,-!~- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS _ D / ~ r~~~ w~f~~ PLAN NO. OWNER ~I/~I ~~ T>//C ~ DESIGN USE/NATURE OF WORK~~/ ~~ / _T/1 ~b(/~ jV/{.T/e~ ;~~~, //~~~ BUILDING CONTRACTOR EX~I.SfD~72 ~7D/it,,'~j- Size Sq. Ft. # Rooms # Stories Height ,A/ /l Foundation Class of Const. Occupancy Permit !VQ 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 - Lav _ Sh _ pyy - WC _ FDr _ SP - Sink _ LTub _. Eject Other WSoft - CBasin DF - Ur -San. Sewer. -Storm Sewer - SS -Water FEES: Valuation ~ • ~ Permit Fee Paid $ ~ Park Dedication $ ISSUED BY Date Q Final/O.P. In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. w 4 SIGNATURE ' ~ ~G ~ ~ S S// ~ ~ A/GENT/OWN~E/R / DATE 7 ADDRESS ~ g~~,,'-r_-~L-/ 1 ~ t~ ~~~l~l~f~ TELEPHONE