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Home My WebLink About0038003-Building (insulation) �� s� � _ CITY OF OSHKOSH N°- 38003 PERMIT APPLICATION AND RECORD TYPE: BLDC��HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONWG FLOOD PLAIN HEIGHT [� � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /�/ � �'/�-/ I/1 � � / �� PLAN NO. �) OWNER –J�I�� I .�'T�l�kd...1 �iN� �,��1 C� �,�fY�� DESIGNER USE/NATURE OF WORK ��/�../� �1� �"`J��/ /�/��_ �/��`��/�E�� : i��___�C�cn :��1'�it� �� '��1.� � � �'�T�,�j1�'T1�' ..��'�S �:� �.' �� %�c� �=� f' '��- — a z BUILDING CONTRACTOR_ �� C�'�� , ��y . ' Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuei/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 '� r�c: FEES: Valuation $ – Permit Fee Paid $ ��" Park Dedication $ c,' ISSUED BY Date l� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE z �3 g AGENT/OWNER D E ADDRESS �� 2 � R`"��SOYI yLC� 'U�SO TELEPHONE#