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HomeMy WebLinkAbout0001872-Building (siding & trim) F. /� CITY OF OSHKOSH No _ 01872 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS .// !J ��"`�`'� ��'`4— PLAN NO. OWNER i��'–�� t���`,�=�-f'Y' DESIGNER � " _ 41 . , USE/NATURE OF WORK c , � BUILDING CONTRACTOR 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 / / ,n / o� FEES: Valuation $_�lo'� � Permit Fee Paid $ /` ��— Park Dedication $ ISSUED BY ' Date l�—S-'�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS V ' Q � � �J � —�� /� TELEPHONE N