HomeMy WebLinkAbout0027933-Building (raze)
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CITY OF OSHKOSH N~
'" ~RMIT - APPLICATION AND RECORD
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27933
TYPE: BLDG D HTG D ELEC D PLBG D SIGN D ZONING
ADDRESS
OWNER
FLOOD PLAIN
HEIGHT
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PLAN NO.
DESIGNER
USE/NATURE OF WORK
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(::-- Height
Occupancy Permit PO
Size
BUilDING CONTRACTOR
# Rooms
Foundation
Sq. Ft.
'# Stories
f?;>
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Fixtures
Electric Servo New D Change D Temp D
Circuits
Type _ Volts _ Amps_
Switches
Receptacles
Ke>~
_BT
PLUMBING CONTRACTOR
_Lav
_WC
_Sink
Other
_WH
_Sh
_ WSoft
_OF
_ CBasin
_ San. Sewer
_Disp
_OW
_SP
_FOr
_ L Tub
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
ISSUED BY
Park Dedication $
. ~- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGEN~ER
DATE
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ADDRESS U/ 6tJ 31
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