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Home My WebLink About0039949-Building (siding) � �� ` � CITY OF OSHKOSH N°- 39949 `' PERIIAIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� PLAN NO. �� ^ OWNER --� ' � '� � � DESIGNER USE/NATURE OF WORK E S� S � �/►�tt � ,, a �.--� � t � G� - , BUILDING CONTRACTOR � �° j--- - � ° Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit� HEATING CONTRACTOR � Heat ❑ A/C ❑ Vent ❑ FueVSystem 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 �-�� Q �'S_ � FEES: Valuatio Per �t ee Paid $ Park Dedication $ � ; ISSUED BY Date �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � V SIGNATURE ��3� py A T/OWNER DATE ADDRESS 3G3 ��'�� Tf��QS�i �/U� ��3- 73�� TELEPHONE�