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HomeMy WebLinkAbout0034034-Building (repairs to front porch) � r � _ CITY OF OSHKOSH N°_ 34034 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� �/ • � 7 � �k ` PLAN NO. OW N E R !.�4�rCil2l.� C�!'L�t�����Q•�4���� DESIGNER � USE/NATURE OF WORK . �.�f��K� -�x Zs� BUILDIN ONTRA TOR r./ Size Sq. Ft. # Rooms # Stories Height Foundation ��,�� Class of Const.� Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuei/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: Valuatio � �' d Permit Fee Paid $ ��'o� Park Dedication $ � ISSUED BY �^� Date , � 3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � % � / �" � - SIGNATURE �������! �� AGENT/OWNER DA E ADDRESS r L�1� ��C��✓,/�� �/ �� ' G s TELEPHONE z