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HomeMy WebLinkAbout0007651-Building (soffit & fascia) � CITY OF OSHKOSH N° 07651 t �' PERMIT - APPLICATION AND RECORD ' � TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT : � � � � � � � � � � � � _ � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � f O/� v T � ADDRESS �� � G� � � /,�f1 L° PLAN NO. � .---� OWNER S DESIGNER � r USE/NATURE OF WORK ` �- ` � �C--��� � ; f x� � BUILDING CONTRACTOR ��`�c� P�s� �' /-/ ��- Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit�_ € HEATING CONTRACTOR v� _ Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S = } ELECTRIC CONTRACTOR ��� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits ` ; s i �: ._.. ; 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 $ r � �— rmit aid $ �Q- � Park Dedication $ iSSUED BY Date �/-�3° �� Final/O.P. ; In the performance of this work I agree to rform all work pursuant to rules goveming the described constiuction. i � SIGNATURE/��C�� �-,�o,"�� ����� � AGENT/OWNER DATE F ADDRESS��`�b ������5�� ���� c�.��]Z� � . TELEPHONE# 4� 4 t j � { 1