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HomeMy WebLinkAbout0025158- Building (Retain Wall) CITY OF OSHKOSH N° 25158 PERMIT - APPLICATION AND RECORD TYPE: BLDGTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /COS Al /LCc P'L PLAN NO. OWNER / f Ck /1.t 1/e DESIGNER (l 6 �� / / USE/NATURE OF WORK Ae-a.J ` once_t—p ,L: OCk A`"o/4 r�A_it `' c94.1 ./ A L}lp �/4 i(� r--0 > 7 i fill. P - `0(�eci(��1l_ G Poi Q-'e is 1 first as oe147 ' BUILDING CONTRACTOR P 0 Q C / A — Ootti r" b C'o to Z b t/ Size r Sq. Ft. # Rooms # Stories Height".Z Q Ao Lit'J t Foundation Class of Const. Occupancy Permit /vd J C 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 %%��� •.� 11 Per• i -ee Paid $ © Park Dedication $ ISSUED BY 01/x/ . -�.i� - Date —Ayr Final/O.P. 111116 7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE; / 7 41"--! / n AGENT/OWNER 7 DATE ADDRESS 7�O r 6A/e.r -----> - BSifi! 3'J -s--/-0.7 TELEPHONE#