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HomeMy WebLinkAbout0029814-Building (siding) ; � CITY OF OSHKOSH N°- 29814 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG (� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - 1T - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS�� �� �/l/• �� �iL� • PLAN NO. OWNER�/�� /<�4�,ZG'Lt� DESIGNER � � USE/NATURE OF WOR ��`LG^- " �� � � � BUILDING CONTRACTOR ��` € e ?� Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const.� Occupancy Permit�_ HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueUSystem 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: Valuat' n $ �a �D`'� � Permit Fee Paid $ ���J � Park Dedication $ ISSUED B Date�/� � /� � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE � � `�/�� r- l/ �. AGENT/OWNER � ATE ADDRESS � TELEH`bNE#