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HomeMy WebLinkAbout0023936-Building (foundations repairs) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION A'ND RECORD 23936 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS II/if m~ ~f- OWNER ~ ~ t:{. ~U-7l~ OA ~ , pt. PLAN NO. DESIGNER USE/NATURE OF WORK 11/t' "'. tua<I4p ~. &7t /A/ .f&-r~d~ BUILDING CONTRACTOR )?r~ ~ Size ~ Sq. Ft. # Rooms Foundation 13/ ~ # St~es Class of Const. r s-- "2- Height Occupancy permi~ HEATING CONTRACTOR Heat 0 NC 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 _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur ~ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ISSUED BY Permit Fee Paid $ ... ,/ /5".0 0 V to/~hl , , Date 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 d!?~~4-~fl ~ ~~ .-gr DATE ADDRESS TELEPHONE #