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HomeMy WebLinkAbout0034700-Building ,>'<>~ 1(01 ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 34700 ~~P_E~ _ _ ~L~~ ~ _ ~T~ _ ~ _ ~~E~ _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS 9'2-o!l~. OWNER ~ /f.H'/YH/ PLAN NO. DESIGNER USElNATURE DF WORK /Z.-t..,.< ~ ~r I~t d;..v/L7 f ~ /j/ltJ ./-d/1~ BUILDING CONTRACTOR t!/;fI);1.l/{ Size 9<-, Sq. Ft. Foundation ~ / Height , ~ Occupancy Permit . 0 Class of Const. # Stories g>' # Rooms 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 _LTub _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _WH _Sh _ San. Sewer _BT _WC _Ur _ Storm Sewer _ Eject _SS _ Water ( Permit Fee Paid $ / () . 0 () " Date t;f 7///1 '-3 FEES: Valuation $ - 0 .- ISSUED BY~(~~ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ADDRESS ~~ It; 30,LL1~4 t)~ djPE({ 7-1-9~ DATE SIGNATURE ,;;23 s-'IJC<rj TELEPHONE #