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0034670-Building (siding)
/�F/ � CITY OF OSHKOSH a N°_ 34670 �' PERMIT — APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �0�� s//-Q%�h..l�1— �' PLAN NO. OW N E R �✓�G► //�/GLA�2�/l-G�( DESIGNER , � . USE/NATURE OF WORK � ' .,��C�-o�- �,c.a.���- d� �l,.rr%�.a!o�-j- BUILDING C�N7RACTGIR �� �J�����d• 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 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 $ ���'�a Park Dedication $ � �P/2"'�l�1�� Final/O.P. ISSUED BY Date T� In the performance of this work I a ree to perform all work pursuant to rules governing the described construction. SIGNATUR �"� ����� AGENT/OWNER DATE ADDRESS TELEPHONE#