HomeMy WebLinkAbout0014271-Building (pool)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14271
TYPE: BLD~HTG D ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~1~~ 'J3f\~Wl ~ ~k
JV!('ke: t ) f' / kC
PLAN NO.
OWNER
BUILDING CONTRACTOR ~ trLt' {-
S;z$~~
Foundatlo ~
# Rooms # Stories
Class of Const.
Occupancy Permit
HEATING CONTRACTOR (
Heat D AlC D Vent D Fuel/System
~at
Loss
BTU'S
ELECTRIC CONTRACTOR -
Electric Serv.
New D Change D Temp D
~
Type_ Volts~ Amps_
-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
~-::---
---.~
_BT _WH _Disp _ WSoft
_Lav _Sh _OW _OF
_WC _FOr _SP _Ur
_Sink _ L Tub _ Eject _SS
Other
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
ISSUED BY
Park Dedication $
Final/O.P.
In the performance of this work I agree t pe orm all work pursuant to rules governing the described construction.
1IWIt1 1/ >-- U~
SIGNATURE' vI' '-:'-l..fI
ADDRESS 2' lit 1
() ; S in") 11 rd(
y:+v,<-
CJu I~.'~ /91'9
TE
;)3 S ~.Jl 35
TELEPHONE #
AGENT/OWNER
za.mx;~ tJSE CQl\1ilLIMX:::: om:xusr
t. ~
9'1'; 1~';?"q Pe:l:mit f; ZCnin:I_I2-:> ~_ Ncn-Ccn:fbm:i.n_ .
Job I.cxa1:icn <r-1_" B~ ~ VVt. t( r-e k. ~ Oimmsiai
PJ:q.er1:y OWner Hr' few r ' /k e tot: A2:ea
II.
NESt cx::tQ~Ccl
~CN
~
~-Jry 9'1.;'~-i1'"q
Ecathcuse
_ tJtil1~ st:z:uctm:e
_ Other (specify)
In. ~~
~Pcol
_ DecklPatio
_ Sign
PcJ:ch
~le Family
_ 'l\lo-Family
_ ~t:i.-Family
Cl:IIID!::c:ial
-~.
Can::>>lies 0-"" dent
V- t1se
- "'.....---.
V . tot: Width
-~ I.ot: A:ea
/ff4-
/V~/
-~
-V
-~
~icienc'l/C."..""nts
Plccdpbi" .
F.I:ClaC Ya:d
Bur Ya:d
S1Ca Yam au
S.1da Yam .CtJ
Pa::1c1nq
9'1"''''i~ A1:ea
-
I.ot: Area per Family
~ I.ot:
Other (specify)
-
IV. RE'\1mi AIJ~
'l'he Pl.anni.ni Oi,:e(;~, C% apprcp:iate designee, must: apprcve all pJa1s, e=ept
the fol.1cwirlq: (1) Altera:t:ia1s C% interior \llDrk when the use is c::cnfo:minq anc1
. wbm1 na c:him;e of use is proposed. (2) Maintenari:e ite:as, e.g~... ~. ~
, etc., when the use is c:on:foz:m:i.ng and when no .c:har1qa of- 'USe is ~~....
~ whe:e w:::k a::II9lies with the aCcw c::ite:;.a, the p-~.t Qan.l:e :eY1ewed
by the BJ'I-i '~;nq ~ta2:: wii:hcut refc:ral to the Planni.rlq Di.rec~.
< APPRJVm ~ AmCVm
_ Plan COamissiOJ'\ Acl:i.on ~
var:iance (s)
REVmiED BY:
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