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HomeMy WebLinkAbout0000057-Building (remodel) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 00057 TYP_E~ _ _ ~LD~ ~ _ ~-fG _ C? _ E':"C _ 0 _ PLBG _ 0 _ SIG~ _0 _ ~ONING~ ~ ~_ :~OOD PLAIN ~ _ ~EI~~T ~A'- ADDRESS / C'J/9 fI/;J~ ~ PLAN NO. OWNER /JPiS /?4l5o/p ~ ~s-~z~B . DESIGNER USE/NATURE OF WORK S!pG.C-f? P/1/AfC- ~ !d:=s~t:Jl3i"UCES/t4L~77cJNS p/Z- (z.) ;JB-U ~e,o/J.tcJoHS t:::/~ aECo:ULJ ~LC)C9~ BUILDING CONTRACTOR &J...J)..JE'f'- Size 7s- f- 37 Sq. Ft. ? zS- Foundation # Rooms d- # Stories Class of Const. ~tJ tJ .;:;J- Height ~ Occupancy Penn" 6F. elk ~ HEATING CONTRACTOR t!:J~Efl- .. .Et..CCi"t 65&1) Heat ~ NC 0 Vent 0 Fuel/System ( Heat Loss 2 BTU'S ELECTRIC CONTRACTOR 6..u};JE:: ~ Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~ ~ _Sink _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _BT _WH _Sh _ San. Sewer _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water Other FEEs,va~.tio $~<9<' ISSUED BY.: . . ';~M1 / /, - 00 {/ Permit Fee Paid $ /S,;:;..- . Date ~.':7 -%b 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 'f ~t(j. R oJ~ AGENT/OWNER 4 -1-- ?I& DATE ADDRESS TELEPHONE # "----