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Home My WebLink About0017638-Building n _ CITY OF OSHKOSH N° 17638 PERMIT APPLICATION AND RECORD TYPE: BLDG �HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� ! � �(/�" PLAN NO. OWNER—--_ -1 /c� i af ``7 c�U r--i A�_ DESIGNER c USE/NATURE OF OR s� BUILDING CONTRACTOR � ' Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. � Occupancy Permit �v� HEATING CONTRACTOR � Heat ❑ A/C ❑ Vent ❑ Fuel/Syste Heat Loss BTU'S ELECTRIC CC�NTRACTnR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � � �,y� BT _WH _Disp WSoft CBasin —Lav Sh DW DF San. Sewer WC FDr —SP —Ur —Storm Sewer —Sink LTub Eject —SS Water Other FEES: Valuatio Pe ' Fee Paid $ � � Park Dedication $ �— ISSUED BY Date �� Final/O.P. In the performance his work I agree o perform all work pursuant to rules governing the described constiuction. SIGNATUR � � AGENT/OWNER DAT ADDRESS � � �� _��1�^.^^- � (./S�1 �CS;��'� ;r2.�,�� S�{� TELEPHO�y�# ��