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HomeMy WebLinkAbout0027060-Building (siding) � CITY OF OSHKOSH N° 27060 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG�-ITG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '. ADDRESS �� f ,1�t� � �a /` � i'` k� / '�-�.�E'_ PLAN NO. OWNER � -O�"4L �• L��r� DESIGNER �- � n ,�,y USE/NATURE OF WORK * � �t �t a✓ / i'`-'oQl�.- c�c•�_ /` BUILDING CONTRACTOR �e S � L__.mGt t�f`-r��, o� 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 `�----- —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 $ � Pe m' Fee Paid $ 3 Park Dedication $ 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. 7 �� l�-e �"Z p I`_ ' SIGNATURE (c���/`t- / '`� � ��`� AGENT/OWNER DATE ADDRESS �G' �'� 7 y -����:,� ; �.e��S 3c�3s �,�s�� s�, � � �� � TELEPHONE#