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0008319-Building (siding)
/� CITY OF OSHKOSH N° 08319 �' PERMIT — APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � FLOOD PLAIN� HEIGHT�� ADDRESS �� 2 od,�. l Z �_ H (�k- ` PLAN NO. OWNER ��� � f DESIGNER USE/NATURE OF WORK �`�l.f�O.�.,/�C �C� I�l/�/�/�_C'�' CT�cr'i/11 If1j!! f �- (/vl.- F"C t�'! S? /�.J c_ �,t,� (/S� �_ ���'/T �t.'/l� /�� v�s��.�v u�i BUILDING CON7RACTOR ������� '� d'� U�� 'V(/�J Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. " g Occupancy Permit HEATING CONTRACTOR '�/�%�`- Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S 7 ELECTRIC CONTRACTOR ' Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR !�.f v'�� —BT _WH —Disp —WSoft —CBasin Lav —Sh —DW —DF —San. Sewer —WC —FDr _SP —Ur _Storm Sewer —Sink —LTub —Eject —SS —Water Other / FEES: Valuati �� � v Permit Fee Paid $ � Park Dedication $ �' � ISSUED BY \ Date J "j�la � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. SIGNAT�E � \ ��J.�. �`�-� AGENT/OWNER DATE AD�RESS ^�c� �-[ , \ �Cf1� S�u� ��-t��J TELEPHONE#