HomeMy WebLinkAbout0043061-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N~'- 43061
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ADDRESS
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ST.
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
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# Rooms
# Stories
Height
Occupancy Permit
Class of Con st..
AJO
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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
_BT
_WH
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_Ur
_ CBasin
_Sink
Other
_ Eject
__SS
_ San. Sewer
_ Storm Sewer
_ Water
_Lav
_WC
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FEES: Valuation ~ ~OOO e ---- Permit Fee Paid $
ISSUED BY ~ ~,.,..~............... Date
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Park Dedication $
Final/O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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ADDRESS
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/7 DATE
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