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Home My WebLink About0005834-Building (convert duplex to single family) � CITY OF OSHKOSH N� 05834 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � FLOOD PLAIN�HEIGHT �� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �+ � 3 �J �--5� y v_� PLAN NO. OWNER � !1 � �Yl G L° / l° /`� DESIGNER USE/NATURE OF WORK �--COK v` �� ` v r—�r�o ac � .J � ` �{ ��°!�'�O L°il !�l r' � �.t,� GG m r^ ►' � ' c�P � e r Q �` 1� � c— � BUILDING CONTRACTOR �°v �r P— Size Sq. Ft. # Rooms # Stories Z Height Foundation �� <� Class of Const.� Occupancy Permit�'L�L HEATING CONTRACTOR �-- Heat ❑ A/C ❑ Vent ❑ FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR � � �� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBWG 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 - e ee Paid $ �� Park Dedication $ ISSUED BY Date�4"�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �7��° � ' AGENT/OWNER DATE ADDRESS,�t1_Y�`� ��/ ---(�J�/ ��!�� TELEPHONE# �