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HomeMy WebLinkAbout0035996-Building (repair existing porch) i �� � N°_ 35996 � CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD ` . TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � ADDRESS ����J ������� � PLAN NO. � : OWNER /�1 �-F���� �Y (.�G Htl�S = DESIGNER ��� USE/NATURE OF WORK���2 �%� ��j%)N'�� �U2L h, � E BUILDING CONTRACTOR �N�R�SLN f��C.DC�� Size Sq. Ft. # Rooms # Stories '�� Height Foundation Class of Const. � Occupancy Permit ���`� _ HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ` r , ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits e j 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 / �,v ��-- cx. 4 FEES: Valuation $ _ �� � Permit Fee Paid $ '' ' Park Dedication $ ISSUED BY �-�i ����''-�-�'� Date � I !b I ��� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ,. � y�SIGNATURE ����_�_ ���-�� _ ��� " AGENT/OWNER DATE ADDRESS ���`��' ��G<_i/',9['_ yh�/—���� TELEPHONE# 4