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0045466-Building (patio door)
� wi CITY OF OSHKOSH N°- 45466 n PERMIT - APP LICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �! 7 �• �L°e� T"s7-✓'f�– � PLAN NO. OWNER�Q��" o�'� `, DESIGNER USE/NATURE OF WORK ��� � � BUILDING CON7RACTOR S�� /�� 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 Senr. 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 l� erm' F Paid $ � � Park Dedication $ s— 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 �!J� !�'��"'""' � �.5�/q..� AGENT/OWNER DATE ADDRESS_ S^D �� �- J�-d �i��G���rXiG� ,��S�''a'�S�O TELEPHONE�