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Home My WebLink About0004891-Building (siding)�� CITY OF OSHKOSH N° 04891 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ` �— ❑ SIGN ❑ ZONIN� FLOOD PLAIN HEIGHT-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS � � � PLAN NO. OW N ER �(1`� l�lit P �f' �,P �"'" DESIGNER USE/NATURE OF WORK �i � ` � �� Q � r BUILDING CONTRACTOR {e S �'C lu� ►''mt� tr��t Size Sq. Ft. # Rooms # St ' 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 ZQ o0 FEES: Valuation P it Fe ' $ � Park Dedication $ _ ISSUED BY - Date �`�d � �,� Final/O.P. In the performance of this work I agree to or all work pursuant to rules governing the described const�uction. SIGNATURE /� � AGEN DATE ADDRESS �� Z/ d!2> //v C //y�/�d ��.5�� c��/ TELEPHONE#