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HomeMy WebLinkAbout0039391-Building (basement walls) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N! lit 39391 TYPE: BLDG ~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Ills.- /C{er--t-,'// k-< CAcu--- f:es. tJ l !/~ ~ U1 ~). PLAN NO. OWNER DESIGNER USE/NATURE OF WORK S;~ e / ..,sr:.[r--~ {!3 h:f.-r:r.- I htl {{s;: " t(J ~t:'~Q r\"'" { 2.. iCt-.s-eUfPI"-<.~ A/k> k-uJ fA. , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. B!> IYi Height Foundation Occupancy Permit ;;?~ ~ 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 _Disp _ WSoft _ CBasin _DW _OF _ San. Sewer _SP _Ur _ Storm Sewer _ Eject _SS _ Water ! / 20- ;' Park Dedication $ Date S"'I/- ?-;/ Final/O.P. , _Lav _WC _FOr _LTub _Sink Other ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~c~ , AGENT/OWNER -fS/If(?tf DATE . ADDRESS /?d /:$oy L~S:S- ()S1-./~ ".... t.. S Y 9' CJ ~ '2 1 '/-- 'Z So 6 TELEPHONE #