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Home My WebLink About0019316-Building (raze garage) � CITY OF OSHKOSH N° 19316 `' PERMIT - APPLICATION AND RECORD (�w�EcK�,�� TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �3�� PLAN NO. OWNER� �� DESIGNER USE/NATURE OF WORK �� RUILDING C�nN7RACT�R ------ -- - - - � Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. o 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 $ • Q Permit Fee Paid $ �0. 00 Park Dedication $ ISSUED BY ` Date�7�/0 �g0 Final/O.P. In the performance of this work I agree to perform all wo urs nt to rules governing the described construction. SIGNATURE ,r 7'�O�`�d AGENT/OWNER DATE ADDRESS TELEPHONE#