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HomeMy WebLinkAbout0042042-Building (foundation) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD /g] N~-42042 ~P_E~ _ _ ~L~~~_ ~T~ _ L? _ ~~E~ _ L? _ ~~B~ _ C? _ ~I~~ _~ _ ~O~~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ (}-JS6- Sg 5e:cu1G r OWNER 7?LAK€ ffON es " t cr. PLAN NO. ADDRESS I~ DESIGNER USE/NATURE OF WORK ))6.U 'D-Jrx..-eY l' . 61 /2LCj r;c)/JD/!llcJAJ ~~ St;(P-.!f /GIC BUILDING CONTRACTOR Size Sq. Ft. Foundation 0 )/lEP :5EcvILJ 'f # Rooms ~ Hyues" /~. , # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat D 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 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~~ AGENT/OWNER If) -/0 ---c;r; DATE ' ADDRESS YO~ Al tN~srF/ e2-f) ~.26 .- 2-CfO I .L TELEPHONE #