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28570 BLDG (Door-Window)
� CITY OF OSHKOSH N° 28570 PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS — S �a- PLAN NO. OWNER �C-�Ct-��� DESIGNER USE/NATURE OF WORK ,�� •— �G����/ � zi-�c-n��-t�� /LG ���C� C �� �.e��Ce �.t . BUILDING CONTRACTOR I i�-t�'z-C-'L- Size /L� Sq. Ft. # Rooms �� # Stories Z-- Height Foundation� �->u Class 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: Valuation ��-�� ` � �� Permit Fee Paid $ / L' C � � Park Dedication $ i ISSUED BY — � � L� �;c�Y,c �� ' Date ��/ C Zr Fi nal/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �. � AGENT/OWNER � D TE ADDRESS TELEPHONE#