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Home My WebLink About0010081-Building (siding) � CITY OF OSHKOSH No 10081 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS�_� �a- �� -�-�-� T o�'"� �T�N-- PLAN NO. OWNER � DESIGNER i f�' � r USE/NATURE OF WORK `� T r' �yti- �� r ° � �. � �� S a � r BUILDING CONTRACTOR - o Size Sq. t. # Rooms # Stories � Height �� ` � Foundation�1��` Class of Const. � Occupancy Permit 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 FEES: Valuation � �� P r it F d $ � � Park Dedication $ �_ ISSUED BY Date �� C�� Final/O.P. In the performance of this work I agree to p rm all work pursuant to rules governing the described construction. SIGNATURE �� u AGENT/OWNER D TE ADDRESS ��( if n l�G��lri.�k/ S�1 G - O S�Y� TELEPHONE�