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HomeMy WebLinkAbout0024477-Building (repair fire damage) ~ CITY OF OSHKOSH N2, 24477 PERMIT - APPLICATION AND RECORD ~~P_E~ _ _ ~L~~ ~. _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _C? _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ __ ADDRESS 3tJ 7'2..... ;C~ ~ OWNER ,V?~ j{~ j?Hp~~r- PLAN NO. DESIGNER USE~AT~o;;/r~~;=/~J:::;;l BUILDING CONTRACTOR ~~ ~~~ Size 9--t':'_ S~. Ft. # Rooms / Foundation ( Class of Const. # Stories ;- I 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_ 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 ISSUED BY Penn;! Fee Po" $ ;:. 0 '" ~ Oat /~c;.~, ; Park Dedication $ Final/O.P. FEES: Valuation In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE . . ~ ADDRESS~~~~ . AGENT/OWNER DATE TELEPHONE # (... ~ , OWNER DATE PERMIT I: ~ GENERAL CONTRACTOR ZONE MASON. CONTRACTOR Width of lot .1 41 o .... .., o s:: 41" a. CD Q I~ , 1[\ - ..... ...... . ~ ;- '" " ... \1 J\ \ Front of lot ~/~~ It. rp~~ $~<M f DATE - ADDRESS 307~ 4-;Zu.r- USE Wo~k consists of INSPECTIONS REIv1ARKS 'MAILING ADDRESS