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HomeMy WebLinkAbout0006563- Building (Remodel) CITY OF OSHKOSH N° 06563 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAT —HEIGHT' ADDRESS 9 31 / 4.,k 5 f- PLAN NO. OWNER H 6 I— C— /4 (irt 0 0'7 7 DESIGNER USE/NATURE OF WORK .c`r,` 1r H'c c• 0fl.(1 eI"* R r 1 432. 0 6---04, si"._ -en c:, --n &.cm cp---..,,,_ J tccl L c,.. c„.,eitiDw BUILDING CONTRACTOR (0c-4-, &--e r Size 7 7 Sq. Ft. _ # Rooms / # Stories _ _ Height A fI Foundation Class of Const. Occupancy Permit/ '� d HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR © °^-' a P ,"-- Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR a' GO !yl O GL_3' BT WH Disp WSoft CBasin Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other cicE) I FEES: Valuation itiil4? 6'4) Pe`r•,. ee Paid $ �� Park Dedication $ ISSUED BY t/// 11. / Date (2 --11— ./ Final/O.P. In the performance of this work I agree . perform all work pursuant to rules governing the described construction. SIGNATURE\_ l ikk_. H/'/) la—ii -67 1 CIL AGENT/OWNER DATE l ADDRESS q q I _Q v� IlSi— • TELEPHONE# •7:20_d"e c S