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Home My WebLink About0004492-Building (siding) � �. � � CITY OF OSHKOSH N°_ 04492 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ��/ FLOOD PLAIN OU�HEIGHT� — - - - - - - - - - - - - - - - - - - - - - - - - - - - - -� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS�—�, (/�� PLAN NO. OWNER ��r �� F' DESIGNER � / / USE/NATU OF WORK � � � �/ h- � � � � �/�S °L f' � �`.ti O S �c BUILDING CONTRACTOR ~ Size �F�� Sq. Ft. # Ro s # Stories � Height � Foundation �rn.C.'i"P� � �r�� Class of Const.� Occupancy Permit `�— HEATING CONTRACTO Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �y � Electric Serv. New ❑ Change ❑ Temp ❑ Type Vol�`�s �-r 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 $ �- Pe ' Fe id $ Park Dedication $ ISSUED BY Date C 7 � FinaVO.P. : In the performance of this work I agree to perf m all work pursuant to rules governing the described const�uction. SIGNATURE ` �/ AGENT/OWNER DATE � ADDRESS /�/S .% �� as h 1co�� itii , .��/�'�' / {��/? �� TELEPHONE#