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Home My WebLink About0025681-Building (roof, doors & repair basement stairs) � CITY OF OSHKOSH N° 25681 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS � �� • � �C .�-�- PLAN NO. OWNER � � DESIGNER USE/NATURE OF WORK �c,tiv � cd-i • `z 2�-n -- �i�-�-�=� , �%4-.�-�-a.� .��.r� BUILDING CONTRACTOR J�i�-�'� ��:✓r/1� Size � Sq. Ft. # Rooms # Stories /2� 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 $ 3 00 0• O O Permit Fee Paid $ � 'r'� Park Dedication $ ISSUED BY Date�af�'/�/ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. / • SIGNATURE( �� - �,��C.�f'_�L / o �5 I^7 / � AGENT/OWNER DATE � ADDRESS �/�o '"'��C�7 TELEPHONE# � •