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Home My WebLink About0029019-Building (driveway) ( s � CITY OF OSHKOSH N° 29019 `' PERMIT - APPLICATION AND RECORD � � TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS -� �3 �-�� ` � � �i� _ PLAN NO. i r OWNER C� 2't'G'2c-�,Q=2�-��y'� DESIGNER � USE/NATURE OF WORK 2 � �oC � �L-f�ctiP l� : � i BUILDING CON�'RACTOR �''/��7 Size � k G'� 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 � FEES: Valuation � � • v � Permit Fee Paid $ �a � � Park Dedication $ ISSUED BY `� �-��'a-- Date �' � � L' Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. I SIGNATURE � r �-� "��` � � � �� AGENT/OWNEFi DATE �� DDRESS TELEPHONE#