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HomeMy WebLinkAbout0022971-Building (fence) � _ CITY OF OSHKOSH N°_ 22971 PERMIT APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS `'�` PLAN NO. OWNER ^ DESIGNER 2 f� � ` USE/NATURE OF WORK � l� BUILDING CONI�RACTOR 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: Valuation $ ���� � Permit Fee Paid $ �'� � n � Park Dedication $ ISSUED BY - ~ Date ��c/� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � AGENT/OWNER DATE ADDRESS �l� �l w �`��J /�"`-� C/Jh�t� °23j—c���' TELEPHONE#