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HomeMy WebLinkAbout003598-Building (siding) /�i � CITY OF OSHKOSH N°_ 33598 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONWG FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Z-�� �• l�� PLAN NO. OW N ER ��^ ��`�•t� DESIGNER r--- � Y ,. USE/NATURE OF WORK � �� BUILDING CONTRACTOR �//.�.( Size Sq. Ft. # Rooms # Stories 7� Height Foundation Class of Const. � Occupancy Permit���1L— 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 $ 3 i/�� ��� Permit Fee Paid $ �0 � Park Dedication $ ISSUED BY �/��– ��-�-l-i��✓ Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �C^�^��'�/` �`�""T AGENT/OWNER DATE . � ADDRESS �� � �� ��� `5 �-5'' 3��{ 7� TELEPHONE# -