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HomeMy WebLinkAbout0023348-Building (siding) CITY OF OSHKOSH � PERMIT - APPLICATION AND RECORD N°- 23348 TYPE: BLDG�HTG ❑ ELEC ❑ P�BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - D - - - - - - - - - -�l�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �3 � [ � � !�P � PLAN NO. OWNER 1 1—C�— �W�L�� DESIGNER USE/NATURE OF WORK �� �� � � t � � � . t BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories / Height Foundation 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 � er 't e Paid $ �J�_ Park Dedication $ '"� ISSUED BY " Date � � Final/O.P. In the performance of this work I agree to pe o m all work pursuant to rules governing the described construction. SIGNATURE �' �'/� �/ AGENT/OWNER DATE - ADDRESS ���/ � ,/ //�'�'� TELEPHONE# "