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HomeMy WebLinkAbout0037413-Building (insulation, vapor barrier & repair doors) l� � CITY OF OSHKOSH N°_ 37413 `' PERMIT - APPLICATION AND RECORD TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ' C� ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - -(�"" ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���' <��� =.�� ,!. PLAN NO. OWNER � ���G.� DESIGNER �U�/A USE/NATURE OF WORK fVC3C�II�CC��(J,�C �����'���1'`-� ����-�' ������L ,u I� �T�//� ���ac�.. � BUILDING CON7'RACTOR � � Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const._� p�cupancy Permit �1� 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 $ ` 4 �° Park Dedication $ ISSUED BY f Qsc �� �� �' Date �� �'� �� � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ✓ -���`'�-v''� l � 2 �j3 � AGENT/OWNER DA E ADDRESS `��-�-G�.S� TELEPHONE�