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HomeMy WebLinkAbout0017509-Building (siding) � CITY OF OSHKOSH N°_ 17509 , `' PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS `�/ [ �� � vd�/�tf e PLAN NO. ���� C�L�/ � OWNER �'� Z DESIGNER USE/NATURE OF WORK r,�t't�c. "cx C�l`Gt ..S�r" ` L�L� �-'e� , r BUILDING CONTRACTOR !��-�P� '��� Size Sq. Ft. # Rooms # Stories Height Foundation �X'i'r� Class of Const.—�� Occupancy Permit .�1� � 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 rmit Fee Paid $ � ~ Park Dedication $ ^ � ISSUED BY Date � � Final/O.P. In the performance of this work I ag ee to perform all work pursuant to rules governing the described construction. � � �' / �'d SIGNATURE � � � AGENT/OWNER DATE , ADDRESS �y� .S C l/9�0� �L��f1/� �/ I�y q rb �� �-9�/�/ TELEPHONE#