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0045189-Building (siding)
. l�� CITY OF OSHKOSH N°- 45189 n PERMIT - P A PLICATION AND RECORD ; TYPE: BLDG�TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS � � � � � �� �`P PLAN NO. OWNER ���C-I.�cc C� (L-P S �lil�'c cJ- DESIGNER . _ � ,Q / r USE/NATURE OF WORK vr� ( r� �' i�� � ��. � ���C� ��Yi C`l�L� 7 �«( ��-s � �" �p BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.�_ Occupancy Permit`!�L� 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 � rmit e Paid $ � � Park Dedication $ ISSUED BY Date -� b � Final/O.P. In the performance of ork I agree to pertorm all work pursuant to rules governing the described construction. SIGNATU E � —� d'% S AGENT/OWNER DATE ADDRESS , -/���`1� �� �V• ��� a3�—���� TELEPHONE/