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HomeMy WebLinkAbout0042041-Buildng (foundation) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD /~~ N~-42041 ~P_E~ _ _ ~L~~ P4 _ ~T~ _ C? _ ~~E~ _ E? _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ dY'Il/ - Y6 ~();2/{L/ / 81A~~ Cr. HOM~j> r PLAN NO. ADDRESS OWNER I;CC. DESIGNER USE/NATURE OF WORK ;()€/.IJ ~XLS:X - ~t--M?7W ot-lU(. BUILDING CONTRACTOR Size Sq. Ft. Foundation ,?olUCf:> :SEc-olZt r;J # Rooms Caoc.flETtr' rb,MES J I tUC. , # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change D Temp 0 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 _ L Tub _ Eject _SS _ Water Other FEES: ValUatiO~Q = Permit Fee Paid $ ISSUED BY ( ~~ Date 5S, C!2. J /o/ro!ql/ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. AGENT/OWNER /0 -If) -7'V DATE I SIGNATURE ~ ,)'0 J ~ ADDRESS /\/ .. - JA~rjC/~"7~ Y46 --~() / . TELEPHONE #