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Home My WebLink About0005032-Building (misc exterior) /� CITY OF OSHKOSH N° 05032 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONWG � FLOOD PLAIN �v HEIGHT�L� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` � ADDRESS –�L��I.� l� � �V, PLAN NO. OWNER K�°G't �P t C Vl�fi► �(° t– q� r DESIGNER ri / USE/NATURE OF WORK �h � � '� ,G' *c, � �l`�� u C r' �r' a l� h � 1- �-i o c �� i � � _ i� c p ` � �"Gr— �P BUILDING CON7RACTOR a 1� o r H� P r� 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 ' e Paid $ �� Park Dedication $ � ��"S `� ,7 Final/O.P. ISSUED BY Date ` In the performance of this work I agree p orm all work pursuant to rules governing the described construction. r � SIGNATURE v �� 7 AGENT/OWNER DATE ADDRESS �d� ��Y' /J � �'�'� �� TELEPHONE#