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0043518-Building (soffit & fascia)
/0 CITY OF OSHKOSH N2 43518 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 1 3g Mom e06 9 PLAN NO. OWNER — 2 .-- bW CGS DESIGNER USE/NATURE OF WORK( S) ACA)/14. __c 4- het& BUILDING CONTRACTOR Lk) S Size Sq. Ft. # Rooms # Stories 0 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 1 ,,= a FEES: Valuation : C7 - Permit Fee Paid $ / ©' Q _ Park Dedication $ ISSUED BY � ! ' / Date ///'?5 Final /O.P. In the perform e of thi won :gr•e to : .rm all work pursuant to rules governing the described construction. SIGNATURE / /7 ✓ ()� / AGENT /OWNER DATE ADDRESS . 7 06 3 / / / - d t 40 - TELEPHONE #