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Home My WebLink About0030367-Building (2nd floor remodel) t � CITY OF OSHKOSH N°_ 30367 `' PERMIT - APPLICATION AND RECORD � .�� TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �( --' FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS�� PLAN NO. OWNER C��r� �� DESIGNER � USE/NATURE OF WORK 2�-� %r��`��-[ ` ` _�� L�-!/• L��-Cr.� . . k BUILDING CONT'RACTOR �� /�s (�� OGG�� Size Sq. Ft. # Rooms # Stories Z` Height Foundation L..�� • Class of Const. � Occupancy Permi ` 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 $ '�'8 Permit Fee Paid $ ��`� � Park Dedication $ ISSUED BY ` Date G��Z�/�Z Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE • �p'2/�/ � AGENT/O NER DATE ADDRESS TELEPHONE#