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Home My WebLink About0009962-Building (enclose existing front covered porch) � _ CITY OF OSHKOSH No 09962 PERMIT APPLICATION AND RECORD . TYPE: BLD�TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �-� � `� , f�� ,�u 1° PLAN NO. OWNER "—°c�-V- �P �V �� d— DESIGNER , USE/NATURE OF WORK � "� �ct I� t•(` "C� r�. �'� �6'� c� � P� /� oS o r— ��vv�CQ.�r` o � BUILDING CONTRACTOR ' �C�l,� � Si �X . Ft. # Rooms # Stories Height r� � � -� r Fo ndation � � Class of Con t. Occu ancy Permit� � �vl I`Qc:J S �i ,� o� /-�" HEATING CONTRACTOR `�� C� a� p s '��X �'S� �J Heat ❑ A/C ❑ Vent ❑ Fuel/System eat 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 �d Pe ' Fee Paid $ ,�'- � Park Dedication $ �` ISSUED BY Date��"'/� �� Final/O.P. �- ��" In the performance of this work I agre perform all work pursuant to rules governing the described constiuction. SIGNATURE 1 /a.�-�z� I�i��c.,�,� �' I ��/�� AGENT/OWNER DATE ADDRESS 3� �i �"�• �S f � ��/�`/� �-3.3--C,� ,�� TELEPHONE#