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0019364-Building (exterior)
� CITY OF OSHKOSH N° 19364 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : ADDRESS ��3� /���GZ��i PLAN NO. OWNER 1/i� ��4Y� DESIGNER USE/NATURE OF WORK C� d�P✓t � ^ l�rl�- a���C(/yyI . : BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. �" Occupancy Permit,�2— HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueUSystem 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 $ ��� � � Permit Fee Paid $ ��� � O Park Dedication $ ISSUED BY� � ,� Date ������1 � FinaUO.P. �v� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �` ' � -�� AGENT/OW DATE � -7 ADDRESS �� � �� � /� Or ..35,O/Q{o TELEPHONE#