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HomeMy WebLinkAbout0021224-Building (windows & doors) CITY OF OSHKOSH N° 21224 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS /(0 9 l el__ �C A PLAN NO. OWNER IL tm. i`._. _ice i DESIGNER p USE /NATURE OF WO/K Gc C�c. /"./Y--0-1-' "./Y-- f-0 "ei d2 ocei,1/ BUILDING CONTRACTOR C >7'4- 4 0- 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 PERMIT "Er: By R cL: o ,,L,' ?f FEES: Valuation ,d�Z ©c Permit Fee Paid COMI Cnit�:il j dark Dedication ISSUED BY ',MINX Date Final /O. P In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT /OWNER DATE ADDRESS TELEPHONE