HomeMy WebLinkAbout0045638-Building (permit renewal 40127)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N! 45638
OWNER
DESIGNER
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P~lA?LJ
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 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
_WC
_WH
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ Eject
_ WSoft
_DF
_ CBasin
_BT
_Sink
Other
.:.....- SS
_San. Sewer
_ Storm Sewer
_ Water
_Lav
_Ur
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ISSUED BY
it Fee Paid $ /D -
Date & -b:t3 -7 S--
Park Dedication $
Final/O.P.
FEES: Valuation
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Cj)~ahl~W,J}i!~ &/1.-l/9S
/d. Co W. C 11 '31 et~ V f' ,Osh k n:> k, wI .2.1[- 95'010
A TELEPHONE /I
ADDRESS