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HomeMy WebLinkAbout0010587-Building (siding) � _ CITY OF OSHKOSH N°_ 10587 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � � e�^ /�� � �V�- PLAN NO. OWNER v C`-� l �� ��P�K-P DESIGNER - � / ' % ���,� � f , F USE/NATURE OF WORK `�'�- e � � ;�1��1� �-��� BUILDING CONTRACTOR e - o �' �' Size Sq. Ft. # Rooms Stories C� Height Foundation Class of Const.� Occupancy Permit � �-�Q �e� �� r�P HEATING CONTRACTOR �- Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptactes 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 Per t ee Paid $ �� � Park Dedication $ ISSUED BY ` Date � w Z� ^ �� Final/O.P. In the perform of this work I agree to rfor all work pursuant to rules governing the described construction. SIGNATURE � ��-/ � � � AGENT/ WNE DATE �� �� � � � ADDRESS � /���� TELEPHONE�