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HomeMy WebLinkAbout0023047-Gut 1st Floor ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 23047 ~~P_E~ _ _ ~L~~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~_ _ __ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS PLAN NO. OWNER DESIGNER M r'::s;s iJ (!: J7 " BUILDING CONTRACTOR SIZ~~ Foundation '? ~C1Her--- Sq. Ft. Z:- # Rooms # Stories Height Class of Const. /'V4~~ccUpancY Permit ~ 'e/~ C: -e t.~....e^-- HEATING CONTRACTOR ~."._. Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR s:: e-k ~ ,- Electric Servo New D Change D Temp D Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits _WC _FOr _ L Tub ~P1..5ort _Disp _OW _SP _ WSoft _OF _ CBasin _ San. Sewer _ Storm Sewer PLUMBING CONTRACTOR _BT _WH _Sh _Lav _Ur _Sink Other _ Eject _SS _ Water ISSUED BY Date Park Dedication $ Final/O.P. In the performance of t . SIGNATURE---.D ADDRESS ~~~&~ AGENTI "NER 15 (' vcf L/ ~oz-/j / r DATE S-oLf /f-Cj ~c;L O~ 5'-V?cJ? o?) (; .3)> d- ~ TELEPHONE #