HomeMy WebLinkAbout0041418-Move Parking Lot Service
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N!! - 41418
TYPE: BLDG 0 HTG 0 ELE~ PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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ADDRESS /1 f ./-JI(gfl /fJlE.. LGV/.-JDefl.SO"-J IS)
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USE/NATURE OF WORK (YUJ lJE THE. (JItr2ICUJ(r UJT ~e1GiJl..l1;., BettI Of:) Tt-t E.
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PLAN NO.
DESIGNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR C, J'"tlf O'{: fJStflC.C6 fJ-
Electric Servo New 0 Change BJ. Temp 0 Type~il) Volts1Zoj2JJ,O Amps .3 0
Fixtures Switches..,{. Receptacles ~ Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ 5CO -DO Permit Fee Paid $ .f[J Park Dedication $
ISSUED BY Date Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE KfJ/~ TheA!'.d:~
AGENT/OWN
ADDRESS tJ 2.b DeruPt;Ei,J -r/2L,
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DATE
5/60
TELEPHONE #