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0000214-Building (siding)
/� CITY OF OSHKOSH No 00214 `' PERMIT — APPLICATION AND RECORD —/ r TYPE: BLD�" HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ��FLOOD PLAIN � HEIGHT �� - - - - - - - - -��- - - - - - - - - - - - - - - - ADDRESS �O v �` ,/V� 7 c)2lC- T1(I�"F�L / PLAN NO. OWNER y�-(J �A�lI� � I� ��-r �"�L Gf�.ef2 S��t,T DESIGNER USE/NATURE OF WORK �� �� �- +-�' ���� �� `-"���� Q'N �U�'�— ' />�/ /�f L �i0 r N - t/.�fiZ A- c�A a f�'�i /2/M �✓�� �f'I �n!v M BUILDING CONTRACTOR ��� M� ✓��^- � �4a� .��x v r A(�1���' Z, Size �' Sq. Ft. # Rooms # Stories Height Foundation Class of Co�st. g Occupancy Permi!'�n���U�`� HEATING CONTRACTOR �N — ' Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR —1v�'��" Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR�/vv�� —BT _WH _Disp —WSoft —CBasin —Lav _Sh —DW —DF —San. Sewer —WC —FDr SP _Ur —Storm Sewer —Sink _LTub —Eject —SS —Water Other FEES: Valuatio � Permit Fee Paid $ �`�' Park Dedication $ �" � ISSUED BY � Date �'"���� Final/O.P. �t ��`�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 2 .. 2C/ AGENLOWNER ATE � ADDRESS ��� �� �3/-- y�J�3' TELEPHONE# �