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HomeMy WebLinkAbout0042040-Building (foundation) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD /a~3 N!- 4-2040 ~P_E~ . . ~L~~ ~ . ~T~ _ C? _ ~~E~ _ ~ _ ~~B~ _ ~ _ ~I~~ .c: . ~O_N~N~ _ _ _ . _ . _F~~o.D_ ~~I~ _ _ _ _ . _ ~~I~~T_ _ _ _ _ ADDRESS aL/sS - QL/s? ~/21 {-if I 6L1lKG c~ J-b/Wt5 ~ 1;Ce. r PLAN NO. OWNER DESIGNER USE/NATURE OF WORK /U 8-<J OIJLYf J::vDU;X~ , ~/U/YJJ7t5lU ~(V BUILDING CONTRACTOR S:CECUtLJ !y tlO/lI~ Size Sq. Ft. # Rooms # Stories Foundation ?"li::::D C!o;u~ Class of Const. Height 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_ Circuits Fixtures Switches Receptacles 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 FEES, vaJua~:( (!;W Permit Fee Pa;d $ ISSUED BY . ~( Date SS:QQ / 10/101# 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 ~~ ADDRESS )0, r 1 J werr 7P/ b4~ - ,. sr /D -( tJ-7'f DATE ~21. - zo-~/ , TELEPHONE #