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0045307-Building (siding)
/��/ � CITY OF OSHKOSH N°- 45307 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS "� � �- f�� � ���� PLAN NO. OWNER �� � � � DESIGNER USE/NATURE OF WORK � C'-� �' '� C � � Rllll I�W(, CnN7RACTOR �� `�LI'� � 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 P Fee Paid $ �7^-�� Park Dedication $ ^— ISSUED BY '� Date � FinaUO.P. In the performance o is wnrk I agr to perfor II work pursuant to rules governing the described construction. >' � � � � 1 % > , � �- r , SIGNATURE � '1.,M ' ` � L�.�'� �� ` ��` `�� AGE /OWNER DATE ADDRESS •, ,/� 1? % ���[�����` C,► ' �� ��� TELEPHONE I