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Home My WebLink About1987-Building (misc. repairs) � CITY OF OSHKOSH N° 05760 ; PERMIT - APPLICATION AND RECORD i � TYPE: BLDG HTG ELEC � � ❑ ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS �I�' � c_ � �� f ' PLAN NO. � OWNER �U r (l° ( 7' f w� ` � DESIGNER . USE/NATURE OF WORK � ` � j C � c ,." ._ �, /`� � ev � °' � ` «�i�,z r� -a J lo1T��ior �ld /� < :J �'-` alrt°S BUILDING CONl'RACTOR �P Size Sq. t. # Rooms # Stories Height Foundation�J'�r�� Class of Const. � Occupancy Permit �1�_ : HEATINC3 CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR !C c� c-� ^ /� y�p� p 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 $ ermit 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 G`�� . � AGENT/OWNER � ATE ADDRESS_ �G� �� /��v�t� �/— �� ' TELEPHONE# ��S �'�'