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HomeMy WebLinkAbout1995-Storage Tank (remove 500 gallon UG tank) � g� Nc �.;' �. �� CITY OF OSHKOSH � PERMIT - APPLICATION AND RECORD ?S ��...,'�` �- `' :"�.,�,,� TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 3 � �� �e��� ���� PLAN NO. OWNER �C L4-�e? -1J DESIGNER USE/NATURE OF WORK �' ��--� �e'� C�.z �v � �� -1 L fi �,// (� (S. ��e--u-a�e' ��C � BUILDING CONTRACTOR �S �c=�'���c��Fc�cr2 2`_'c,.u;`)�tc�r�� Size Sq. Ft. # 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 _Lav —Sh _DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub _Eject —SS —Water Other FEES: Valuation„$ � Z7ln Permit Fee Paid $ ���� '' Park Dedication $ /! /x ISSUED BY /��1 Date � Final/O.P. i In the pertormance of ihis work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE -� -�'oJ�!��� ���-- J -���5~ AGENLOWNEfl DATE ADDRESS �S�1 Ccr//�r- C�h l�r�,tb�� (.JT S�//3 � 73•S��'7 TELEPHONE p