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HomeMy WebLinkAbout0036221-Building (siding) l 7 7 CITY OF OSHKOSH N° 36221 PERMIT APPLICATION AND RECORD TYPE: BLDC24\---i-ITG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 7 ./A% -4.__. PLAN NO. OWNER l% DESIGNER USE /NATURE OF WOR I� P1 a( p v s m. f f BUILDING CONTRACTOR Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat A/C Vent p Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New p Change Temp p Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Disp WSoft CBasin Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation 4. Aric Pe mit Fe- P. d Z Park Dedication ISSUED BY 4,411 s∎ O Date 9_Y Final /O.P. In the performance of this work I agree to pe arm all work pursuant to rules governing the described construction. SIGNATURE 1 .i /12-V Pj AGENT /OWNER DATE ADDRESS 7O1 r ;tom` TELEPHONE