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Home My WebLink About0041890-Building (siding) l �/ �- CITY OF OSHKOSH N� 41890 � PERAAIT - - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� 5 -�� ' PLAN NO. OWNER Ilf�/VJ /� DESIGNER USE/NATURE OF WORK �' /�-- 1u � D'�D J/�//�.�r /�5�,�4CC �,l.�J Ci1 S�D�� i��vGS� �4LL c;i � i �IJDr��> Bllll I�W(� C(�NTRACTnR ��y� � Size Sq. Ft. # Rooms # Stories Height Foundation Ciass 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: Valuati � � � Permit Fee Paid $ ��' � Park Dedication $ �— ISSUED BY Date 0 -3 � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. J SIGNATURE '�— �D' ".� �9� ENT/OWNER pq7� 5� � ADDRESS /�� '� �� a?�S 'C�� TELEPHONE#