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Home My WebLink About0000767-Building (house remodel) /`'� _ CITY OF OSHKOSH No _ 00767 PERMIT APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �r� FLOOD PLAIN �r HEIGHT� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��7/" //"� ��"T'� �-- PLAN NO. OWNER �/v�f�� N ��S !!�� G �� (/3� ��-�33 9 —� DESIGNER USE/NATURE OF WORK 6 G� �� GY �rDF�� /`�/�GO�L�L �/�l/ ,�(�U�i- � — �✓ C� L�Jr�.0 i /7 f�.�'/v/��! //`��/� �/.��'�?S� .�i�r.0�� - r BUILDING CONTRACTOR__VGv�/" Size Sq. Ft. �U # Rooms f� S# Stories �--- Height �G Foundation� � G Class of Const.� Occupancy Permit HEATING CONTRACTOR 7 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 .- o 0 FEES: Valuation $ ��d Permit Fee Paid $ �,�5� ' Park Dedication $ �` ISSUED BY � Date " �-S^�� Final/O.P. 7�. o. ��/s/$b In the performance of this wo agree to perform a w rk p u t to rules governing the described construction. v SIGNATURE � AGENT/ NER DATE ADDRESS TELEPHONE#