HomeMy WebLinkAbout0032395-Building
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
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32395
TYPE: BLDG 'fi HTG D ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK ,.,pc,/(
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BUILDING ~ACTOR fJ ht7?1..U'
Size Sq. Ft.
Foundation ~ ·
# Rooms
/
# Stories
0"
-z.-
Height
Class of Const.
Occupancy Permit
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HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
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ELECTRIC CONTRACTOR t/Vk7 ~ -
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
7
.
_BT
_WH
_Sh
_ San. Sewer
_WC
_FDr
_ L Tub'
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
ISSUED BY
Permit Fee Paid $
Date
/
;). ~..O D v/
1/;'1/73
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
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AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
-OWNER
DATE
PERtirr .
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ADDUSS
USE
INSPEC'l'IONS
FOOTING
P'DTN SLAB
BACKFILL
STRUCTURE
07
v
ENERGY
TEMP OP
FINAL' OP
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