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0028391-Building (remodel)
/� CITY OF OSHKOSH N° 28391 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �"a �'� ` �— PLAN NO. OWNER � -7� DESIGNER .(�- � USE/NATURE OF WORK ��-- ��C( G�7� 3 BUILDING CONTRACTOR '�'C��� �� e�? � - Size Sq. Ft. # Rooms # Stories � Height : Foundation Class of Const.� Occupancy Permit� G' HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �����/�C--� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PWMBING CONTRACT�R�_��--2-+���'J_-GZ�f�2'� 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 $ G' � ` � � Permit Fee Paid $ r d � � � Park Dedication $ � ISSUED BY` 'C���*'`v`'— Date -� S Z FinaVO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR � � �� � � AGENT/ WNER TE ADDRESS � C7��� �j . TELEPHONE#