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0010525-Building (siding)
/� CITY OF OSHKOSH No 10525 `' PERMIT — APPLICATION AND RECORD : TYPE: BLDG�TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS v�7 � �-� 7 � �le'tQ PLAN NO. � OWNER '�- F_ ' L DESIGNER USE/NATURE WOR � � � � / � c � _ r , � -� � ,.�..� 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 Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACT(�R —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 Fe Paid Park Dedication $�— ISSUED BY ate , � � � ��Final/O.P. In the performance of this work I agree to perfor I work pursuant to rules governing the described construction. SIGNATUR �� /�� AGENT/OWNER DATE ADDRESS / �� �G r+ L� ' v��S'D �O �j TELEPHONE�