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Home My WebLink About28014 PLBG (Unit) � _ CITY OF OSHKOSH N° 28014 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� r � � PLAN NO. OWNER ��c�� ^/7 DESIGNER � � � USE/NATURE OF WORK �'�' �` � / �,�=�-t—�—/' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation 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 �yu��{-•'--'� �/-d-�_ � t�...i• —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 $ =3 e�° c'' �' �' Permit Fee Paid $ � �' �' � ._ Park Dedication $ ISSUED BY ��`— Date � 7 � Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE �I��'y/� _`��'��/� � � � �� I AGENT/OWNER DATE ADDRESS �7 7 � ��,�lt �'�. ��.;��0 �6�7/ ,��vL�t C�i� �/ .� -!��-�f 1�9`,6/��f TELEPHONE#