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HomeMy WebLinkAbout0001874-Building (siding) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 01874 :"'P_E~ _ _ BL~jP _ ~TG _ E? _ ELE~ _ E? _ PLB~ _ E? _ SIGN [~ _ ZON~NG_ _ _ _ _ _ F~QOD_ ~~'~ _ _ _ _ _ _ HEIG~T _ _ _ . ADDRESS dJ-S-o {U ~ /d: ~ " PLAN NO. OWNER ~ ~ USElNATUREQFWQRK ~ ~ 4/~. ~/~ DESIGNER BUILDING CONTRACTOR ~~~ . Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _Lav _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer _ Water _BT _WC _FDr _ L Tub _Ur _Sink Other _ Eject _SS FEES: Valuation $ S SD 0 Permit Fee Paid $ ISSUEDByd-.;~ Date / 3~4~C9 ./ //-S'-'---~ Park Dedication $ Final/O.P. ..A.//;<f / In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (?()/Vv\~kJ:a.JJ AGENT/OWNER ~. ~ 1/M DATE ADDRESS J.0(O (V~ ~ :J-3)-))jf TELEPHONE #