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Home My WebLink About0021793-Building (front entrance repairs) n CITY OF OSHKOSH N° 21793 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG.� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - r— ` ADDRESS � �� ` PLAN NO. f OWNER �� /' " �!a DESIGNER USE/NATURE OF WORK i� e � ►� c s.�� 'L'e'l F •L BUILDING CONTRACTOR ��5� �f'�a v C e Size Sq. Ft. # Rooms # Stories Height Foundation��-r[T� 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 FEES: Valuation $ � P ee Paid $ Park Dedication $ ISSUED BY Date � � Final/O.P. In the performance of thi o k agree to perf a work pursuant to rules governing the described construction. SIGNATURE � �� : AGENT/ E ADDRESS � ��2" ' � � � I � � TELEPHONE# �