HomeMy WebLinkAbout0010481-Building (raze)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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BLDG 0 HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONINGIi- '3 FLOOD PLAIN
N2 1 0 48 1
TYPE:
HEIGHT
OWNER
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PLAN NO.
ADDRESS
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DESIGNER
BUILDING CONTRacTOR
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Sizp..,3'O ;<s-v Sq. Ft.
Foundation ~e'-:::::. -f-
# Rooms
Class of Canst.
, Occupancy Permit
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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
_Lav _Sh _OW
_WC _FOr _SP
_Sink _ L Tub _ Eject
Other ~
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_ WSoft
_OF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_ Water
_SS
ISSUED BY
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Date
Park Dedication $
Final/O.P.
In the performance of this work I agree to pe arm all work pursuant to rules governing the described construction.
SIGNATURE~ G--
ADDRESS .2. =? 07
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AGENT/OWNER
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CJY'e'tON sf
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