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Home My WebLink About0030795-Building (door & window) [ CITY OF OSHKOSH N°- 30795 � PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � T � �" ' �� PLAN NO. OWNER v � , �^�� DESIGNER ,Q �/� /�,� - , 7� � USE/NATURE OF WORK�/,��/` ��<6r''�-�� DIl'� O`n /L`G�1 . �.��-�" �//�,�-� 'Z�n-c0 /.l�-a�t � � 0 RUII DING C'nNTRAC�TnR .Or>�/l�lGtCi1 t� Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Perm' . HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuei/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 °t7 Permit Fee Paid $ �� Park Dedication $ ISSUED BY �� ' Date � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � d � AGENT/OWNER ATE - ADDRESS ��!l�l �� ,4 TELEPHONE# .