HomeMy WebLinkAbout0041150- Raze (garage/shed) /6xe
CITY OF OSHKOSH N2 41150
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ITG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ?' f Ai ^-w` PLAN NO.
OWNER /4(4-L' ( e_ --VC_Jfiti
DESIGNER
USE/NATUR OF WOR M`- �a L r 1 Imo-e 0e_.- 6--aQ 1
Q t o %ed2 ,
BUILDING ONTRA T o �' ! �o_&rxA
(Qu
Si e x te) Sq. t. # 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
_Lay —Sh DW DF —San. Sewer
_WC _FDr _SP __Ur Storm Sewer
Sink —LTub _Eject _SS —Water
Other
/
FEES: Valuation -r .?-1_11:— "'emit ' Paid $ r Y Park Dedication $/
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ISSUED BY _ 4iftl i r L l / -✓/ Date • = Final/O.P.
NIL /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , �Lir441"7c --/6'-4
/� C�s /SCJ AGENT/OWNER DATE
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ADDRESS / � / N , _/ ,(ir 5- 7 K05-/1 . 3/--/ 73 ..
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