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0030411-Buidling (siding)
/� CITY OF OSHKOSH N°_ 30411 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 2, Z �" ' / � (/v` PLAN NO. OWNER �� ���%��` DESIGNER ` � - USE/NATURE OF WORK BUILDING CON�-RACTOR Size Sq. Ft. # Rooms # Stories �7'' 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: Valuatio $ �7S 'v J Permit Fee Paid $ ��`� � Park Dedication $ ISSUED B ''�� Date Z � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� GENT/OWNER DATE ADDRESS TELEPHONE# .