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0007652-Building (siding)
€ � : � CITY OF OSHKOSH N° 07652 � PERMIT - APPLICATION AND RECORD k t S TYPE: BLDG -ITG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ; - - - - - - - - - �` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� �J 7 � �v�° ' PLAN NO. ; �hk- d' /1/ � � � OWNER i-e i pi.� 4 DESIGNER � / �� < USE/NATURE OF WORK ��- �� � / � ? � � ez. c I �-- BUILDING CONTRACTOR ��� -� Q-c /�/�� Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit��8 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 P� FEES: Valuation $ � Per e Paid $ ��• Park Dedication $ ISSUED BY Date ''�"�`� ~�� Final/O.P. In the performance of this work I agre t perform all work pursuant to rules governing the described const�uction. SIGNATUR� `�\C�L +-rv-���l. q� l.�-l�-g� �AZ'.,�ENT/OWNER DATE � . ADDRESS�""��SC1 �cr��(��`.�i�St� � �� ��� a�- _�.��_ TELEPHONE#