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HomeMy WebLinkAbout0028303-Building (misc.) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 28303 ~~P_E~ _ _ ~L~~ ~_ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS ~6)'/(~ r LJR.dk-'.J PLAN NO. OWNER DESIGNER USEINA~ OF WORK~ ~.~..~ ~~ u:- ~ ;~. .~;~ ~.b-;, l ~Ic ~ BU1LD1N~TRACTOR -f"..-r' ~~ · . Size . :1bw.. . Sq. Ft # Rooms Foundation # Stor?: "2 Height Class of Const Occupancy Permit } 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 _LTub _ Eject _SS _ Water Other ISSUED BY Permit Fee Paid $ . cV~ Date / ,+$;,.0 0 i/ ~oh~ Park Dedication $ Final/O.P. FEES: Valuation tH's work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR 4/eo/q/J- DM-E ADDRESS TELEPHONE #