HomeMy WebLinkAbout0005292-Orders to Repair
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
05292
TYPE:
BLDG D HTG D ELEC D PLBG'fi4 SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
.# Stories
Class of Const.
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
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-
_WC
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WH
_Sh
_ San. Sewer
_Lav
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
/- /Ylt~ ,
f
~ SS_ Water
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FEES: Valuation $ /6c:) Permit Fee Paid $
~~---...
Park Dedication $
ISSUED BY
Date
Final/O.P.
erform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #