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HomeMy WebLinkAbout0019615-Building (siding & windows) � CITY OF OSHKOSH N° 19615 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG�tiTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAW HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` � ADDRESS ��� C� 7� �/'P PLAN NO. OWNER ��" K- �'�. ��"" DESIGNER USE/NATURE OF WORK �� �- � � '� �--- �` r� � '1'v c> c� � fi�I���i F)rS �o'�— �f—"GV� � LO , � BUILDWC� C(�NTRACTnR �C� Pl(� 'E' ���1�C�a Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const. � Occupancy Permit���'� 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 i FEES: Valuatio d � P r it Fee Paid $ � Park Dedication $ � ISSUED BY Date � � Final/O.P. In the performance of this work I agree o perform all work pursuant to rules governing the described construction. , �), SIGNATURE � r'�^%''�'"'�-'^ ./`t � 2 � �� � � AGENT/OWNER DATE � ADDRESS � \� [ � ��� c � �� y� � - 3 7y� TELEPHONE# �