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HomeMy WebLinkAboutBuilding � t � CITY OF OSHKOSH N° �'��: (;;+ n PERMIT - APPLICATION AND RECORD - TYPE: BLDG�`HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ��`- FLOOD PLAW�-L�'-? HEIGHT�� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � ��C� /t'1 r<Yry l,`_ � PLAN N0.�-� � � �y, OWNER -ar� : +�s-r- -L l �; DESIGNER USE/NATURF nF WnRK �Cx � 7a C �i �1� ��.r � [+!/ cr I�,b+ l T-"C �w�rrvX�hb/�I (1 .� r �/ ��-G+` C•'_c.Yt=Y f�Y-r`(c: �� BUILDING CO TRACTOR — -� �i�c G� ' f Size� ����"�' Sq. t. �vc�'�� �� # Rooms # Stories / Height Foundation �`�==t�' Class of Const.�_ Occupancy Permit � c �"� HEATWG CONTRACTOR �N����'-I 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 � '-��C?� �' � �� FEES: Valuation $�-��C��,��� Permit Fee Paid $ Park Dedication $ , ISSUED BY—]1i1���-���� Date ��� ��' ��y Final/0.P. ',, In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE l " - �� � �� A ENT/OWNER �ATE ADDRESS ���� C�-�i�E'E/Z-� ��'/LC.��� �jJ , Za/ -��5 TELEPHONE#