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0038647-Builidng (siding)
;!`�l /'� CITY OF OSHKOSH N°- 38647 `' PERMIT - APPLICATION AND RECORD TYPE: BLDC�^ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS ���� �T� `^ / '!�� �� PLAN NO. OWNER U/cJ / ► /ilJ� DESIGNER USEn/N_ATURE OF WORK ��/V1/�L�� l/C�SIs�LL �/�(�'� �Q/�'�,�/j- JSI(U� l�•�✓ti(r %�'��/1 ; �/UT//C� �US� BUILDING CONI'RACTOR � /�',vL Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit �U � 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 �� S �� FEES: Valuation $ �' Permit Fee Paid $ � a ' Park Dedication $ ��a� Q� � ISSUED BY Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � �0 AGENT/OWNER DATE �� � �� D��'� s �c� ADDRESS �� l TELEPHONE#