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HomeMy WebLinkAbout0025655-Building (misc interior) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION A,ND RECORD 25655 ~~P_E~ _ _ ~L~~ A1_ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS OWNER ~ 337.-1J.~ ~ c. [)r.' t1J -J~ PLAN NO. DESIGNER USBNATUREOFWORK. A~~Fntl'C~' ~~~ tf71-q--<-~_ _ ~.-~-W;~ 1Af!MA.. :;:!;.i:tek~~" I-/~A--. ~ h<~~ ~MJf6"} 0" ~~1#,~eA~ . "" BUILDING CONTRACTOR t1~.(....- Size ~" Sq. Ft. Foundation ~ # Rooms fO Class of Const, # Stories 51 ""2- Height Occupancy Permit ry 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 _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other Permit Fee Paid $ 10. tJ D ~; Date ItI//~1' Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUREe?U/ 4./~4 ~r.9~"",,- vi AGENT/OWNER DATE ADDRESS TELEPHONE #