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HomeMy WebLinkAbout0013703-Building (exterior misc) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 13703 TYPE: BLDG~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /001 ~rlZ ::re~ i^- h r!- 7 PLAN NO. ADDRESS DESIGNER Size Sq. Ft. Foundation bc~t- # Stories Class of Const. /?J (-C/o I Height :J.V Occupancy Permit I'-r HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System c.:.. 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 _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _Lav _WH _Sh _ San. Sewer _BT _WC _Ur _ Storm Sewer _ Eject _SS _ Water ISSUED BY /./"'l (J(J Fee Paid $ (../, .- , Dateb- 9 ~ 8 9' .--- Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE \'-"-' I\M-< (l,.~ AGENT/OWNER . ( ADDRESs-1 bOI ~ 4 0vM./ t)~ W~, I to/q - t'7 DATE . _~ '~ii:Jg;z ~J.,.,- . ) TELEP ONE # _ ~flYJrf BuiJ.dinq E'ecce Bcat:hcuse _ tJt.ilit:y St:uctu:t'e _ Other (specify) IIJ:. ~~ ~. II. ~ zam:G~ tJSE cn1J?LIMx:E c:HEX:KLIST I. GENEIAAL 9'; 11;" 1'l9' Pemit t Zonin:1 Job IDeation 1001 (fa ~V\ e y' _ _'T 'n / ~ I _ PJ:cpez:1:y ~Q v~ IC Ot...4.-~ Confo%%l1i.n1_ Ncn-Confominq_ ~ Oi.nension r.m: kea ADDI'l'ICN NI!H ~:uu.J<:TIQI _ Pool . ~ tleck/PatiD _ Sign PoJ::ch ~ $1hqJ.e' Family. _ '1'wc-Family _ ~1:i...pami.ly CDamer.cial -~. CQlr)lies V /~ ~ iiJE- ~ -:-V. :--J Deficiencv/cannents - / c/ ~~ ~ e-,;'~i~ Az:ea IDt: Area per Family Ccm1er IDt: otner (specify) - rv. m:vmi AtI~ 'l'he Pl..annini Dired:cr, or app:cpriate designee, must approve all plans, except the fDllowi:lq: (l) Altera:t:icms or interior ~ when the use is c:cn:fo1:minq and . when na c:hange of use is pxcposed. (2) Maint:enam:e itens, 8..q.;..,. ~., windcws;, , etc., ~ the use is c:cn:fo1:minq an:! when na c.~ of 1:Se is. pz:cpas.eci'. Instances whe:e work CXIl91ies with the above c:ri1:e3d.a1 t:ne p<'"-arot: ~. bla r8v1E!'h'ed. by the BJ,;1I;i1'\q Ics~Lor without: refm::ral to the Pl..annini ~. ~/ APmJVm N:lT APPRJVED =:, 0k9 RE:VJ::DoJED BY: