HomeMy WebLinkAbout0029039- Raze CITY OF OSHKOSH N® 29039
PERMIT - APPLICATION AND RECORD
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TYPE: BLDG WHTG ❑ ELC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 0 I 9 O (t')-- ` PLAN NO.
OWNER-2-29—rt--- /-Aar C -
DESIGNER (,
USE/NATURE OF WORK �' - tc5 2 49-r �/�yeK"�
BUILDING CONTRACTOR (26e.,
Size /0 r/ N Sq. Ft. # Rooms # Storiesie ( Height
Foundation Class of Const. 2C Occupancy Permit/-4.)
HEATING CONTRACTOR
Heat ❑ NC ❑ 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
•
t/
FEES: Valuation $ 0 "0 Permit Fee Paid $ /O, (9 ° Park Dedication $
ISSUED BY 21'4''� /�-ex..Z.6T-ems Date ('/ - Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � 6/AZ
AGENT/OWNER DATE
ADDRESS
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