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HomeMy WebLinkAbout0029505-Building (siding) � CITY OF OSHKOSH N°- 29505 `' PERMIT - APPI�ICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � � C � � ADDRESS ' PLAN NO. OWNER /�Cwy �.�.ZZ��-C�� DESIGNER USE/NATURE OF WORK �� ��'` �— � �/ �r • h /1/�-Z L� ��-C ��� a �.�.Gt� . . � .� ,� �d�t-c �,,-,. BUILDING C�NTRACTOR . �'�'e°G �� Size � Sq. Ft. # Rooms # Stories—� Height Foundation Class of Const.� 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 � ' �J Permit Fee Paid $ �� ��' `� Park Dedication $ ISSUED BY '� ` Date l�; � �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNAT R ��-"9� � �� � T/OWNER DATE � ADDRESS n � ���'� a1��' p�D � TELEPHONE#