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0000191-Building (siding)
/� CITY OF OSHKOSH No _ 00191 `' PERMIT — APPLICATION AND RECORD TYPE: BLDO� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �� FLOOD PLAIN �� HEIGHT� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Q� u ���`� ��� PLAN NO. OWNER � �G DESIGNER USE/NATURE OF WORK � ��-� � ��'J�' u� '��Q���' d ���� � I�i�.i� ��(�/i✓� ��/ � BUILDING CONTRACTOR ���v/�-��1'�� �� �� C�U/I� ��'1/�U�' Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const.� Occupancy Permi � v�� HEATING CONTRACTOR �� Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CnNTRACTOR �'�-� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ��/���v —BT WH _Disp —WSoft —CBasin —Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP Ur Storm Sewer —Sink LTub —Eject —SS —Water Other FEES: Valuati � Permit Fee Paid $ <d ✓ � Park Dedication $ � � ISSUED BY Date `�" /� � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATUR � AGE T/OWNER DA � ADDRESS � ' �' [����� [� TELEPHONE#