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Home My WebLink About0004061-Building (siding) /� CITY OF OSHKOSH N° 04061 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : ADDRESS �`'� � (/� PLAN NO. OWNER ��EJ� � G�'[_1 1.�Z(.(� DESIGNER � � � ^ c S,o � USE/NATURE OF WORK � BUILDING CONI"RACTOR p Size ` Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit = f 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 PLUMBWG CONTRACTO�,__ —BT _WH —Disp ''��-1NSoft —CBasin , —Lav —Sh DW —DF —San. Sewer € WC FDr —SP —Ur Storm Sewer —Sink LTub —Eject —SS —Water Other FEES: Valuation �– � mit aid $ �� Park Dedication $ ISSUED BY Date � � S~' S� Final/O.P. In the performance of this work I agree to pe orm all work pursuant to rules governing the described construction. SIGNATURE � � � c AGENT/OWNER DATE ADDRESS `LD � ��°lie�l� ��1"7 TELEPHONE# � � ,�� o ,�7