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0044729-Building (siding)
1.=G- CITY OF OSHKOSH N°_ 44729 PERMIT - APPLICATION AND RECORD TYPE: BLDG 1:; HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS i 13 r' Gym.) PLAN NO. OWNER ' ` ce,s kAm C67" DESIGNER CS) � J USE/NATURE OF WORK s A C.I. VIN L. L c ((VC, i ©A.) -/-k)o3e 6,412,466; BUILDING CONTRACTOR CiW ►` -'�1 � Size Sq. Ft. # Rooms # Stories 1 Z Height Foundation Class of Const. * Occupancy Permit NOD 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 : 00• • $ Permit Fee Paid $ / - i Park Dedication $ ISSUED BY Tti. !1� -E • _ I. / Date 5 ///QS Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. A SIGNATURE 'j7_3 .- -9 ,S A ENT /OWNER DATE ADDRESS ' R 2 /Y 1 C. 1` 5 ck '\ si- ) _ 3 3 9 9 2 TELEPHONE #