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0025387-Building (enclose front porch)
� CITY OF OSHKOSH N° 25387 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDGf� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ` - - - - - - - - - /_ L - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Z � PLAN NO. OW N E R______��Qti�`�� ��L�-/�z��'�"'' : DESIGNER USE/NATURE OF WORK� , � �%Cs�-� Gti,�-t��` � ` L:�IJ-2is�-�'��'-Zr/� BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories f 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 �b �4� O i� Permit Fee Paid $ 1/�0 Park Dedication $ � ISSUED BY Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � '/� �� � NT/OW R DATE - ADDRESS � �S��/ d � : TELEPHONE#