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HomeMy WebLinkAbout0015766-Building (front entrance) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 15766 TYPE: BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '. - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WOR0.....0 ~U~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. ~ Height Occupancy permit4t!/ Foundation HEATING CONTRACTOR '--- --...~- Heat D NC 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 _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ISSUED BY Paid $ IL~~ /0 - ~l-8<J Park Dedication $ Final/O.P. ~ FEES: Valuation Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /~~- /~. AGENT/OWNER / ~/;:r /LU /1///9 ~ Sy:-- I - /~~~ ,. ( DATE /.3 r?-&// Y TELEPHONE # / ADDRESS