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HomeMy WebLinkAbout003482-Building (soffit & fascia) 1 �`/ /� CITY OF OSHKOSH N°- 34820 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �l a3 � [ �� �v� PLAN NO. OWNER '=�i �,C / � �L � F� �/ DESIGNER USE/NATURE OF WORKJ � ��6t � � I�- � C � s `d�/� BUILDING CONTRACTOR / � �� /7�/cc� P Size Sq. Ft. # Rooms # S ries 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 Pe ' Fee Paid $ � � Park Dedication $ ISSUED BY Date � P Final/O.P. In the performance of this work I agree to perform II work pursuant to rules governing the described construction. �vc�� �� Clt°�Z SIGNATURF — �����- ��-/3-• f--� �r1 ' A(iEnlT/O R DATE ADDRESS ���:�.�s� �d, ���� -��0�/,� 3.3y r�,�� TELEPHONE#