HomeMy WebLinkAbout0038244-Building (insulation)
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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38244
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N2
TYPE: BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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SH AWN ~f\L
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
;1Di/oCAP: lAX,.,
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
+EATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
..\
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_WC
_FDr
_ LTub
_Ur
_ Storm Sewer
_ Water
_Sink
Other
_ Eject
_SS
FEES:. ValuatK>~ If ~ P",m" Fee Prod $
ISSUED BY . 'A ~f2t Date
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6Jlail)91f
If
Park Dedication $
Final/O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE 1/ ..