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Home My WebLink About0035166-Building (install patio door) /�l /� CITY OF OSHKOSH N°- 35166 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG [� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - �-�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �O /!� . / � (rlr'l �A�C • PLAN NO. . OWNER DESIGNER USE/NATURE OF WORK � � / ( ays� .��, � � � � �� BUILDING CON�'RACTOR Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupar�cy 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: Valuati $ � • � a Permit Fee Paid $ �O• °J Park Dedication $ ISSUED BY � Date 7/ Z�/�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE y � �- a 9 � /j AGENT/OWNER DATE ADDRESS �D a� /�l�-h,q�/E Osl� l�'o s� y�� - S3?U TELEPHONE#