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0044241-Building (additional insulation & venting)
: I ��(� n CITY OF OSHKOSH N° 44241 PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� vv ` "� PLAN NO. OWNER �eV CJ�Hf���'– DESIGNER USE/NATURE OF WORK d �-�� � � ° BUILDING CONTRACTOR ���r'C3,C� . �� 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 FEES: Valuation �SQ� Permit Fee Paid $ � � Park Dedication $ �� ISSUED BY Date a� � 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 TELEPHONE N