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HomeMy WebLinkAbout0033241-Building (sign) ~~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~s-i N2 33241 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG 0 SIGN ~ING FLOOD PLAIN HEIGHT - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /7019 AJ,:SF) - );?a~ A-v-r /f{~I-'L ?&t) ~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK4(Lf- ~ fllok sr~" 7/)(<=// E,,~t/- ef1.-~ C:S I' ~f( I'~ !fuUA..'" ~ W .s;~ &1. t N-e- ~ lA-l- AO+- ~ eJC(! eecfl tr~ c-k A e c:s,kI-- ",-P ~r~~ BUILDING CONTRACTOR Size 7 X ~r ,. Foundation )( 1~/rti # Rooms # Stories Height ~' 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 ,-- _Sink Other _FDr _LTub _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _BT _WH _Sh _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water / ~--~j Fee Paid $ ..s..? Date Ic.-I: 3 ( Park Dedication $ Final/O.P. ~, ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE~"",ow..," ADDRESS ~ C; ~7W OIL(vTi M(0{ ~ 2.1 9-=3 DATE / 2'3/-1fhD TELEPHONE #