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Home My WebLink About1994-Building (siding) � ! �( ` � CITY OF OSHKOSH N°_ 38842 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS � ��. � PLAN NO. OWNER I 1 l�'r L Z DESIGNER USE/NATURE OF WORK � 1 n S R—l�� ( /�f f '�' {/j BUILDING CONT'RACTOR �� C/if� 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 � a FEES: Valuatio Perm' Fee Paid $ '— Park Dedication $ ISSUED BY Date `� � —�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE c �,� 7_y� AGENT/OWNER pA� ADDRESS_ S�7 7/ I� TZ«� a33_f y�i y TELEPHONE N