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HomeMy WebLinkAbout0041570-Building (wall damage) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ell N~-41570 TYPE: BLD~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - . - - - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ~"'n C .L?, b t' LA... e I- r- \./ / DESIGNER t. USEINATUREDFWORK~~I"<-l~? s~ /. ~t;~'A;!~~J:,:f,c~"I/ >_ Z- "t l.z ~ ;q PLAN NO. OWNER Foundation ~ s~t,,~ # Rooms # Stories Class of Const; ~ Height Occupancy permi~-:V BUILDING CONTRACTOR Size Sq. Ft. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~"F -e? Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~ _BT _WH _Disp _Lav _Sh _DW _WC _FDr _SP _Sink _ L Tub _ Eject Other _ WSoft _DF _ CBasin _Ur _ San. Sewer _ Storm Sewer _SS _ Water ISSUED BY / /0 -- j 9-1c- ~9~ ~ --. Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURh~~~, a~ AGENT/OWNER ' ADDRESS Q;) 1 :t-;,[4LJ ftf,;/91 d 3s-~~Y~O TELEPHONE #