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HomeMy WebLinkAbout0044235-Building (insulation & venting) I��le � CITY OF OSHKOSH N° 44235 `' PERMIT - APPLICATION AND RE CORD TYPE� _ _BLDG � HTG ❑ ELEC � PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - ADDRESS +� } ` , � PLAN NO. OWNER_ �IV 1'n �� S DESIGNER USE/NATURE OF WORK • � � �' BUILDING CONTRACTOR�t�1V(�CQC� Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent � Fuel/System Heat �oss BTU'S fLECTRIC CONTRACTOR Electric Serv. New � Change ❑ Temp � Type Volts Amps Fixtures Switches__ Receptacles Circuits PLUMBING CONTRACTOR —BT —WH —Disp _WSoft —CBasin —�� —Sh —DW —DF —San. Sewer —WC —FDr _gp _Ur _Storm Sewer —Sink _LTub _Eject _SS —.Water Other FEES: Valuation �8 Permit Fee Paid $ ���, � � j Park Dedication $ ISSUED BY Date_ �l°�-���� Final/O.P. In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE M