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HomeMy WebLinkAboutBuilding -�; N� 37125 CITY OF OSHKOSH � PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��`)i / ; `.`-,��� �-!� -ii� - PLANNO. OWNER � \i.-�i/�;� .������/-/;��'/�� DESIGNER �; � USE/NATURE OF WORK ����h������ ��-�1��-� ��� . �_, , . BUILDING CONTRACTOR �� N' '� 7 � ����T'�'�-' �� ��` �`� �'<-'���I�!.x'j/,_x� �� Size Sq. Ft. # Rooms # Stories =>` Height Foundation Class of Const. X Occupancy Permit ��'�' HEATING CONTRACTOR Heat ❑ NC ❑ Vent ❑� Fuel/System Heat Loss BTU'S � ELECTRIC CONTRACTOR � �� ��� � Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures — Switches Recepiacles Circuits PLUMBING CONTRACTOR 4 �- �` 1�� l�'- �'�� _BT —WH Disp —WSoft —CBasin _Lav —Sh —DW —DF —San. Sewer _WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other � .n,.-y-F- �,T: � '-�'. FEES: Valuation $ -��'�--y--� ` Permit Fee Paid $ � � ' Park Dedication $ / ' 1, J k � '�(2t.V`��-s Y ��x/ `(_� Final/O.P. ISSUED BY��,� " � Date �� �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � �_ , � "' _ - ' �-" : SIGNATURE� . � �� � � qGENT,� ~ DATE ADDRESS �,:J � � f�.>. ���� �y-. - `� �i.����%<�' �'l ^�-��:.�,I�F �_/.: � TELEPHONE# •