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HomeMy WebLinkAbout29186 HTG (New Home) � _ CITY OF OSHKOSH N° 29186 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � ADDRESS _ LJ (,{� �" LAN NO. OWNER �/�Gl,/L'!�S� dtt _S DESIGNER USE/NATURE OF WORK �'7 �c� �/��ty /U,�'r.� �y(p�/�s2 �i BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit n HEATING CONTRACTOR ��'`�u/B i^ �L�-9 � Heat � A/C ❑ Vent ❑ Fuel/System�-�. Heat Loss ',�� (J`D`O r.. 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 $ ���- �U c � Permit Fee Paid $ �� �'�l Park Dedication $ ISSUED BY Date 4��4�1�' Final/O.P.��3-9?, In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �j��"'j '/9'�`. AGENT/OWNER DATE ADDRESS ��� TELEPHONE#