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0000852-Building (alterations)
CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 00852 ~~E: _ _ ~L~G pc: _ ~~ _ D _ E~E~ _ C? _ ~LB~ _ C? _ SIGN _~ _ ZON~N_G _12-1 ~ _ F~O~D_ P':"~ _t?~~_ ~~'G~T _'V~ AD~RESS It'jo 5, ~CJoLJ k?o,LtL) PLAN NO. OW~ER G4f2y _~ Z/E/Je/l- /7/6 (fi/J'lHA/1 [) rt. DEJIGNER US~(NATURE OF WORK 106L-t3- LJo..->€:-"vL '- E-c/6 L ~.L j BUI~DING CONTRACTbR bCV~JL Size ~ ~34- Sq. Ft. 9j:;2- i ' H- ' , oundation ~ I '. ~ 3 -185"""0 7ftl-f/ L (Ie; { /JE/LIC E /4c-'1 t::;(l.,A-(/lc~...:5 'f7=:> C-,4</PL)/i-:Y ~OH ~ .6Ef}~J-1 >' - ~/{/(eJ~ # Rooms # Stories f)liG~/ Height .yC- ~. /J ~I Class of Const. . Occupancy Permit C::)r .> l1 d- ~, HEA~.'ING CONTRACTOR HA- il r teat 0 NC 0 Vent 0 Fuel/System ELE6TRIC CONTRACTOR CVrv-t/;....JG:,7 ~Iectric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ ~ixtures Switches Receptacles Circuits ~L'NG CONTRACTOR f<:,c;.;r- 'I / r.. BT - WH +-Lav _Sh il WC y- i- Sink Othe~ ~,:,," ,,,,,,,,,-,,",",.;"..':c.,.,"_,,,.~....;,.,,,,.. ,', Heat Loss BTU'S _Disp _ WSoft _ CBasin -OW _OF _San. Sewer _FOr _SP _Ur _ Storm Sewer _LTub _ Eject _SS _ Water / V Park Dedication $ ~ Final/O.P. c; -/0 - lro In th., performance of this work I agree to perform all work pursuant to rules governing the described construction. sJ.ITURE )( ~ 4M4/ O~ Ii' -~ II / ./ AGE faWNER DATE ADD1ESS ,I TELEPHONE # ADDRESS / (/ -3?7 5'. a.~VV~CPe::J ~ CONTRACToac S) c;;.....A-IV-/ ~%{ ~~ USE/WORK OWNEa DESIGNER PLAN EXAMINER PLAN# FILE LOC <. LOT SIZE THERMAL RES: WALLS VARIANCE CEILING CLASS_____OCC_____ MFA XL SPR HC FRONT_____REAR_____LEFT_____RIGHT ZONE FLOOR FDTN FDTN 1-3 PERIM --- ..--..--..--PERMlr-REcoiD.-...----.................---.......-....-....--...-..... --- --- -- - -- -...--- .........--.......-.......-........ -- --.... DATE NUMBER TYPE FDTN PART COMP FDTN PART COMP FDTN PAaT COMP APPROV INSPEctION FTG/SLAB BACKFILL STRUCTURE ENERGY OCCUPANCY * Inspected with State Building Inspector ,...00' ,