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Home My WebLink About1995-Building (weatherization) f�/ � CITY OF OSHKOSH N°_ 45677 PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - " I � � ��'os7e�-�- ADDRESS PLAN NO. OWNER L(� �t° � f-t� r V l.'i171' � DESIGNER USE/NATURE OF WORK � ��v � �� n �.� � �(I�.�1��'I�(�/'7_ ��/��/C a/i�'e � BUILDING CONTRACTOR � 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 PIUMBING 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 $—S) 2 l� • �2 Permit Fee Paid $ ��'�d Park Dedication $ ISSUED BY Date Final/O.P. In the pertormance of this work I agree to perform all work pursu nt to rules governing the described construction. ,-�-'' SIGNATURE �'t AGENT/OWNER DATE ADDRESS TELEPHONE N