HomeMy WebLinkAbout0026120-Building (shop/bathroom)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
26120
TYPE:
BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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DESIGNER ~
USE"ATUR~F;7:~C.'~::,:::r ::( ~t L 2~>f-..1/
2-?- 9
j;W\-
PLAN NO.
ADDRESS
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BUILDING CONTRACTOR
OCJ..P Vi ~ I
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.,
Height
Occupancy Permit
Foundation
do
,
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR G....r-b B=~~ ~ t=:
Electric Servo New 0 Change Temp 0 Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
#~ ,-v-e A
.
_Sink
Other
_FOr
_ LTub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_WH
_Sh
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
aid $
i_-
/.....
/
rf
ISSUED BY
Date //-.y- '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.
SIGNATURE
0~_ J. ~~
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L'1-1- (?'A./:2-t)
TELEPHONE #
ADDRESS