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HomeMy WebLinkAbout0030618-Building (siding) /� CITY OF OSHKOSH N°- 30618 ` PERMIT - APPL�ICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� 7 C�(, � �C.� C�- PLAN NO. � OWNER��� � DESIGNER USE/NATURE OF WORK ��r.�. � d'L�I°, . BUILD�N CONTRACTOR �fil�'C�� Size Sq. Ft. # Rooms # St ies � 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 FEES: Valuation ��'"� � � � 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 / 0 ` �` ENT/OWNER DATE ADDRESS TELEPHONE N �