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Home My WebLink About0012766-Building (siding & windows) � _ CITY OF OSHKOSH No 12766 PERMIT APPLICATION AND RECORD TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - � - -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� l� / �� PLAN NO. OWNER �/\ �- � � �' DESIGNER � ,�c� / 3 USE/NATUR OF WORK �s'L619�' �<, li ��`�� "�/ a � c� � �G L $� r < <c+ V G'— c a ` �, �(� G ; r� F3UILDING C�ONTRACTOR �=' �°�� Size Sq. Ft. # Rooms # Stories Height Foundation�1� �`�� Class of Const.� Occupancy Permit /�-Tc.� � HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT —WH —Disp WSoft —CBasin —Lav _Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other 8 s C� °�-' FEES: Valuatio rmit Pai -$ ,!� Park Dedication $ ` ISSUED BY Date ��! �� Final/O.P. In the performance of this work I agree to � rm all work pursuant to rules governing the described construction. SIGNATURE `"'� �� NT/OWNER DATE ADDRESS �� —Q r O b TELEPHONE�