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HomeMy WebLinkAbout0020269-Building (install door) i�T /� CITY OF OSHKOSH N° 20269 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING r� FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS �2� �i'� ' �S�L�� P�AN NO. OWNER �'�� �i��L�s"� DESIGNER USE/NATURE OF WORK j S B�'� , BUILDING CONTRACTOR Size �6 Sq. Ft. # Rooms � # Stories � Height Foundation `-4�'�. 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 $ �1p04 , O � Permit Fee Paid $ l�'�� Park Dedication $ ISSUED BY�� ����� , Date S/ 7� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. . SIGNATURE ' AGE /OWNER DATE � ADDRESS TELEPHONE# �-