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Home My WebLink About0009215-Building (siding) � _ CITY OF OSHKOSH No 09215 PERMIT APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � � � ��-G-�S� � �� PLAN NO. OWNER � C>��Z`1 C`D—L) �-� DESIGNER USE�NATU OF WORK � r Cc V c r ► o c � �D a r�u b� o-�Y BUILDING CONTRACTOR �`_� a F '� _S Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit HEATING CONTRAC OR ----- Heat ❑ A/C ❑ Vent ❑ Fuei/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 $ ' l `, ermit Paid $ � � �� Park Dedication $ �— ISSUED BY Date� —� Z �� Final/O.P. In the performance of t ' work I agree to orm all work pursuant to rules governing the described construction. SIGNATURE �' -� �'�� '�� AGENT/OWNER DATE a��RESS /L �- � i��-�, ��%� ��Z , ��T,a/�� TELEPHONE N