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HomeMy WebLinkAbout0036551-Building (foundation) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 It/I - 36551 ~~P_E~ _ _ ~L~~ ~ _ ~T? _ C? _ ~~E~ _ ~ _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N? _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ DESIGNER 1/40 :z;.,<!.\ IUlft MERRILL sr: KELL@J V3EJf::(;e:K PLAN NO. ADDRESS OWNER USE/NATURE OF WORK ';;vtJ/Y!lnou Re:pAIIl.<; ~ BUILDING CONTRACTOR Class of Const. # Stories if I Height Size Sq. Ft. Foundation CoJJ Ci?.I:3fe f3t..IJCJ'-. # Rooms Occupancy Permit fi/D 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 _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other L;..n"" ~ FEES: Valuation $ JWI.A/' ISSUED BY q~ ~J2v, Permit Fee Paid $ Date / ~$ Q,Q ,,// tb]ablQ3 Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Ifs'GNATU ~~At' ~ LO~#.Y ~ AGENT/OWNER / DA A- ;;P-.33-f/Z-%6 ~z. z 2- ADDRESS~ . c:/J 4; ~ .;;5"cu~--d TELEPHONE #