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0011335-Building (siding)
/� CITY OF OSHKOSH No 11335 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /' �I �, � � ADDRESS �/ � �i�/� 7 � �-l�� PLAN NO. OWNER / LG /`'/ r� G� � �"Cc Gl.� DESIGNER USE/NATURE OF WORK � � � f`�e � � rJ �l�r � r� << �f Ct'- f\ r� r �r s� c�ec.c �fJ @ 0— � � � BUILDING CONTRACTOR � ��'_ C Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit �� � c; c� /' �° HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Voits 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 _ '—ov FEES: Valuation $ P it Fee Paid $ Park Dedication $ ISSUED BY Date g Final/O.P. In the performance of this work I agre o perform all work pursuant to rules governing the described construction. SIGNATURE �/ – I� "�� AGENT/OWNER DATE ADDRESS �� � S cK--� O � ���–O/O�, TELEPHONE�