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Home My WebLink About0028350-Building (siding) k � /� CITY OF OSHKOSH N° 28350 � ` � ; PERMIT - APPLICATION AND RECORD ` TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ` ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - t ADDRESS �Sr Z Z G(� . �'� PLAN NO. OWNER � �,c,-G� DESIGNER � USE/NATURE OF WORK �L.CJ ^ � , ��' .�� , � �c,-��o ' � t BUILDING CONTRACTO Lc-CC%�� f Size�i Sq. Ft. # Rooms # Stories / Height Foundation Class of Const. � Occupancy Permit �'� HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S f t 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 $ ��GO•�v Permit Fee Paid $ 3S -a � Park Dedication $ ISSUED BY �'"'� G�- �'`�`�— Date �/�/�l 2i Final/O.P. In the performa ce of this work I ag e to perform all work pursuant to rules governing the described construction. SIGNATURE �r� ` � AGENT/OWNER DATE +� ADDRESS / � S ��"'� �� Q �j TELEPHONE# �