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0034352-Building (remove window & install door)
/ d � CITY OF OSHKOSH N°- 34 52 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN _ _ HEIGHT ADDRESS I 7D 9 ��� /N PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK ��� a ��-�1 ,a(� � !.� � ' � : 1 `3 7- �� O�o"�� ��� � ,�-t �,� co�c? . BUILDING CONTRACTOR��✓� / Siz Sq. Ft. # Rooms # Stories / /Z' Height Foundation Class of Const. � Occupancy Permit r� 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 $ ���� �� Permit Fee Paid $ l�' � `�' Park Dedication $ ISSUED BY Date����1 ? Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE '��- ���G ��3 A ENT/OWNER DATE ADDRESS � �� ` � I'lvl".- �� � � 3 �`�.� C' TELEPHONE#