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HomeMy WebLinkAbout0047206-UG Tank Removal ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~y-~ '[c~~/ BLDG 0 HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN ~( N~-- 47206 >>- .. oJ ~ TYPE: HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /2..0 elL ~t\~~ (' ~ ;:r; Q fA- K ; r-~ r V I PLAN NO. ADDRESS Ig-'~r DESIGNER USE/NATURE OF WORK~ fz-I I )L.~. r 0;( ~vLk SaCJ ~~I lj, G-~ BUILDING CONTRACTOR ;:r- f:=CCt ~ f Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR '-- _Sink _ Eject _SS _ CBasin _ San. Sewer _ Storm Sewer _ Water _Lav _WH _Sh _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _BT _WC _Ur Other FEES: valuatJon~- ISSUED BY . Permit Fee Paid $ Date Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ADDRESS 9-/9-9'-5- DATE .d? .5S:-d / cJ .3 SIGNATURE TELEPHONE # ) ..,;j '-"6''''- ...t'"''''''''' .. . ~ ; '154J-'1 F:-RC:r".1, OSH~<Ct;;-c; ~~E [:e~!:"~1", "~"i.i ~:'.1 '"Tv': /hL'110 'J) fh;...'vJ./?, P r ,........._,---............,..-'................-~,,,.---,_......~._.........,.,..."""'.~--~_..._"""-'--_...... SHe Address: .SD ib") ...__:.l_g~..{__..__.l-l--:-fL L?: t!.N 5_.___.___~~}~~_J_[) 4' ~ i ~. A L-'1 , . ., --~,-_.--_._----~_.~..-. l: SI/ASTp ER:\HT CUECKLIST C'ontractor' .~_.~-=:;L__f...f. C"'-- .E.cu.c~~:;;....7=_....."_._._______~._o....______.... \ddress :_..dg~~.~~~.lt-L1.?.fLt.!..J_~~:..~:::...._._&:lL__... - . - ~._~- - - ~..L__........-___.....,.. .___.___ __~____.'-'__. _______u __.___.._..._ Phone No _~2. (f.~ _C tY- 0 f" " " --~ '--"'''.''.'_'~'_-'''.__...,_.__...----.-..,----...._----_.._.._-...,....'"---_."......._~,.,.~'""...,--~~...'-~,-._._...,,------..-.....- ~ ,,", -'r /-:~, '.~"} ..t_ install. Tanks Upgrade TankS'__''::'_''_4 ,,/ V l)el"l'~Fi''' -l'''~nj."<: '. ... /" l"'\. ~ \j"""" ,__ ':1.i.lI.\.i..'__"^,,,~,<-<;_ Upgra.de Piping_____. ; .'-'J..I>;K E"if'OR1\'IAIION #1 #4 #5 Composition .. "'_0" '''..._.,..,.....-..-......._,_.,~_.._~'_~',m<_,.._... 't .s@.rJk!,. .. RECEIVE'" -0- .. ... __._'___'__.moO'___'_,___,___,,,__,,.>.. -, >.. ....... ".... "'U t.:./.-.( Z. (..... /" / I .. 1_~_.,>_..._...___k._ -....,.,--..-..------..-...--....---...--,----..-~~ ... .s'.. E'p" 1"9 1995 ' . --.."...--- c' .-.-.... , ' , ._~--......-"----_. "....-...-r-"'~..~-'-'--..-.-------.-----...--~-..DfPARTM ENT' .. "~'" il. . rD COMMUNIT OF '\pprOXlll1ate Cost of Job:"..._.!../_:l() r;!..~___"..~"__.__., Y DEVELOPMENT ;ontenlS. j ank Size: Piping , 'II i\pproximate Start Date;...._.__._,..______~ _.,.____".___ iT l~~l1a.nce Approved: "\.T j es No __~___.._.._. ~ \HlUltlQnS l)f ,~\ppro\ aI' ---~-""~--.......~.___~._____~ ____._~_.~M ____,____ ~____. ....~...........____ .. - -0 ',-- -......-~,_._____.~_. -.""-."'.........,.."""........"""'''''....~._,...........''"'-'-'''-.__.~,___,_...__....n.~_____.._~__~.____.__ .__~ .."..,~..~...,~,._..--..;.,-___~w'_......,.._..__.~.L...,_..._,,__.__'"__...,'__ ____~__.._,.,____~___.__....._.'..............___.,_-....'_. __'-_..____.,_..___,.____.~_.......__.... , .-."..,.-.~...._..._..-~._,,,...-..--.~ .-.....--,....- .-....---.---.--------.,.~~.J::..,-,-"...,...__.._____._._._'_'_._'~"_____ Ii /I ,',L/f '/". 'i~ .......-" 4. "- -- f ?;- ..~~"l r""'>. -.,.1.... .. :1 . ''"j / ~~ . '" L> U~~"H=d H "......~"I A.rf'" I"~ ..-> fi .f~~' "".,.,~..., 4- "..tf:.. if:'";""'-- , " pi '.J V" . > )' . --/--,-.::t,L.i..c.- -.I'--.-4.f--~~..:.....c~-....,~-L.:.;:7<-,~,-.-~- V"'<:"--7_.t..: ~._ 0'0./ I . ~ .. . · "" I' I i'Di .,~ ,., '..... R 'T- /Y 'O"","/< '...' l!7 . - /.'/'""'U. ,anK :systel'n n';e:._._..I::'~~..._._.J"lanS \.evlew ree.. ..'~._. .r.r:..L{..~11.! jf'Ef:.::_L,.5-::..~~~__ '" 'Ole: This is noi a penniLIu obtain the donglivlth a srrE: PLAN ~md a C~HIX<K made payabie to the amount hstcd in PERJVUf FEE". t(} the Huitdlng U,aH, between ~he hours of 8. & 9 AM, I & 2 PNI, 01' by shaH be obtained and on site pd;:;n> to ({Hmncncemeut (If w(lrk. CHEC'Kl.JST, {jlF OSIIKOSH" for ~)t City .p'-t:rrnit