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0041124-Building (siding, windows & patio door)
>yl CITY OF OSHKOSH No 41124 � PERMIT — APPLICATION AND RECORD - TYPE: BLDG [� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ✓• - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I 03g W 6 --�}�` � ADDRESS �vC ' PLAN NO. OWNER KE 1 TN �V(3 E}�S : DESIGNER USE/NATURE OF WORK��_ 1 .���L. S i D,'IJ�., ��M, 'T(Z,1M Qti) �LL ��'F'i�S , �'�►s�A . CftS i►.�S -t- S���S : I r�-�T lo ��.. oo�Z , r3cr�w -��-i pE(�QIS� l+v S�l.tt�lc� � g T'��1C�M� L�i N�-v S� BUILDING CONT'RACTOR��CLJ`� Size Sq. Ft. # Rooms # Stories 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: Valuatio I� d� — Permit Fee Paid $ �a' s� Park Dedication $ � ISSUED BY � � Date gl i6 I��"� Final/O.P. � In the performance of t is ork I gr to perf all work pursuant to rules governing the described construction. R � ^ SfGNATURE CL ENT/OWNER DATE ADDRESS l�0 � `�'�f�"? ��G���i TELEPHONE M