HomeMy WebLinkAbout0013075-Building (fence)
~
CITY OF OSHKOSH
\ PERMIT - APPLICATION AND RECORD
~~~
BLDG 0 HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING 'R ( FLOOD PLAIN
N2 13075
TYPE:
HEIGHT
ADDRESS >- (q r 5
OWNER----'-'P a ~
DESIGNER
USE/NATURE OF WO~'
fkUA t I/-c,~ ~
AJr' ~h 0 h
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PLAN NO.
BUILDING CONTRACTOR Ocu-V\.!e ,.---
Size /0 ~ Lie, ii-sq. Ft. # Rooms
Foundation n..." f ~ Q..o K C \i"-e- \f"e
# Stories
Class of Con~t. E!:::>
Height t r--< ey
Occupancy Permit A../d;
HEATING CONTRACTOR ~
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
---
--
-
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR "
-....---....,
_Sink
Other
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WH
_Sh
_San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
/c::2PrO
ee Paid $
Date s- / '-- P3 7'
. ~
---..
Park Dedication $
Final/O.P.
ISSUED BY
o erform all work pursuant to rules governing the described construction.
SIGNATURE /~
ADDRESS hL. -6 / S'
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AGENT/OWNER
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DATE
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TELEPHONE #
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NEW' Q:k:,~~
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~$ihqle. Family"
'l\c-FamiJ:
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Jt2ltt-FamU
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0:IImer.cial
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ACl)I'rICN
L=--Y'~
Boat:hcuse
_ Ot:ili~ st:uct:m:e
0theJ: (specify)
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Por:11.
_ Deck/Pa1:i.o
_ Sign
PoJ:ch
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c:cm,ueS
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7
7
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Defic:ieDC'l/C~ts
l3J,;1n;~ Area
IDt: Area per Family
Ccm:1e:' IDt:
Ot:ber (specify)
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rv~ REVmi AmBORIT!'
'lb! Plam1i..D1 Di..rec:tcr, or ~te designee, mst app%O'Je all plans, ucept
the fbl.l.cwin;: (1) Alterations or interior \\1Ork when the use is ccn:form:inq and
when IX) c:hanc;e cf use is p:opcsed. (2) Ma.in1:erlanC:e items, e;,q.;.~ ~., ~
etc., ~ the use is c:on:fol:m:f.D; and when IX) chancJe of 'USe is pz:cpcs.ec1....
:rnstances whe:e'~ cx:Il'plies with the al:xM! c:rit:e:.;.a, the r-enra.t dan. be rm.ao.'ed
I:ly _ 1l>."<I1DI....~. :t6t: without refe:c:al'to the Planninq Di.l:ec:t:=r.
K- APPRMD ~ APPKNED
Required
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