HomeMy WebLinkAbout0019366-Building
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
19366
TYPE: BLDG.4 HTG D ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS /33.3 ?J ~.J,.r-
OWNER ;t:I ~~ '
DESIGNER
PLAN NO.
USE/NATURE OF WORK
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BUILDING CONTRACTOR ~~..d!--
""2--- Height
Occupancy Permit ~~
Size
Sq. Ft.
# Rooms
Foundation
Class of Const.
# Stories
p
HEATING CONTRACTOR
Heat D AlC 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
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
Permit Fee Paid $
Date
3~/H) /~
1/1/,/'ie7
Park Dedication $ ,
Final/O.P. M
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ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ ) - 1/- 70
GENT/OWNER DATE
ADDRESS' 70b :), M ~ d ~ t~7~-o/~b
TELEPHONE #