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HomeMy WebLinkAbout0003860-Building (siding) CITY OF OSHKOSH N9 03860 PERMIT - APPLICATION AND RECORD TYPE: BLDGXHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING i° FLOOD PLAIN Cam"` HEIGHT' r ( ADDRESS JAM (4- oe,c.,c, I-L) PLAN NO. OWNER 03/7 (elfl '-VA (S DESIGNER /'�' o USE /NATURE OF WORK Sl'tl J`A�'1lC [�slp -C.✓CE te4L,4C)e- S" /A c2...^ as GJi 171 &l/,lm,„ avxc., G rlt /z cl 44S(ATc. -/ L c f W ( 7 A !1611n/ tow BUILDING CONTRACTOR Lugs 4Mo l A,t p,.Gov t,t+.IT'- Size Sq. Ft. Ind — C7 # Rooms # S,tories / Height ,. Foundation Class of Const. -17 Occupancy Permit /�"r' HEATING CONTRACTOR ,/ti ©APt- Heat ❑ A/C ❑ Vent El Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR NU A-i <- Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR OA j 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 43 0 0 Permit Fee Paid $ 1 i Park Dedication $ IJ I ¢ ISSUED BY J ._ . ., Date S a-7' Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. / / / SIGNATURE f /- -� / - ...Garr( ,-- a j. S', � ' ' AGENT /OWNER �) DATE ADDRESS 26 G ) '�s' - /%� • (/� . TELEPHONE #