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HomeMy WebLinkAbout0013260-Building (windows, siding & insulation) � CITY OF OSHKOSH N� 13260 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT , - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � G� �-- � � ��-��� � — ?� PLAN NO. OWNER �/� � � � -� I �� DESIGNER t ,.., - ` USE/NAT RE OF WORK � � - / r � ^ C � � � BUILDING CONl'RACTOR �' Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.—� Occupancy Permit----C��1c,1 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 —mE'1 FEES: Valuation Z- Pe ' Fe $ Park Dedication $ �--~ ISSUED BY � Date ^ � Final/O.P. In the performance of t is work I agree to p r( m all work pursuant to rules governing the described construction. SIGNATURE � /� ` �� AGENT/OWNER DATE ADDRESS TELEPHONE#