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0022328-Building (sheet rock in living room)
/� CITY OF OSHKOSH N° 22328 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS % �� �� ���'r'� PLAN NO. OWNER ���� DESIGNER . . USE/NATURE OF WORK S f' � ,�.�,tl �iv /1�0�-�yc.. ifrs� /�t,.0 . � �/-�-s-rf . BUILDING CONI"RACTOR Size Sq. Ft. # Rooms # Stories '� Height Foundation �� � Class of Const. O 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 7�•�!� Permit Fee Paid $ ,�• 4�� Park Dedication $ ISSUED BY Date���5� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Z SIGNATURE NT/OWNER ATE ADDRESS TELEPHONE#