HomeMy WebLinkAbout0043688-Building (insulation)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK ~~} At:NDC.:A."f) 1~, -9
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BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
# Stories Height
Class of Const. ~ Occupancy Permit
.AX>
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
Fixtures
New 0 Change 0 Temp 0
Type - Volts - Amps -
Switches
Receptacies
Circuits
PLUMBING CONTRACTOR
_BT _WH
_WC
_Sink
_Sh
_FDr
_Disp
_DW
_WSoft
- CBasin
_Lav
_DF
- San. Sewer
- Storm Sewer
_LTub
_SP
- Eject
_Ur
-_SS
_Water
Other
FEES: Valuation $
ISSUED BY
//
120, pil --
9J¡/1S
. .
Park Dedication $
Final/O.P.
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
1-/I/Çf
OATE
ADDRESS
TELEPHONE #