HomeMy WebLinkAbout0028534-Building (above foundation)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
28534
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ADDRESS / / _ <'-' [)
OWNER /via ~l t?
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PLAN NO. fit- -)8 -< 59~ LS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR 6 'E'_ c_ A..~-c/ {! ~ M....~ 1-
Size~-'6Y /00 Sq. Ft._(.."'l?OO # Rooms -<If-I ba'f4 # Stories ( Height / JI'
Foundation 1.( t::1'~:J- to;cd( Class of Const. ~_;'13' Occupancy Permit /21'/
HEATING CONTRACTOR
A-N#
Xv, ~
G ,.13 .
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
:S:~ h.o ~t'Vo-e r-
Electric Servo New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
_Sink
Other
_FDr
_ L Tub
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vI &.1 .~
_Disp
_DW
_SP
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_ WSoft
_DF
_ CBasin
PLUMBING CONTRACTOR ~ t>V'-
_Lav
_WH
_Sh
_San. Sewer
_BT
_WC
_Ur
_ Storm Sewer
___ Eject
_SS
_ Water
Perm" Fee Pa;d $ ~~-~--;--
Date :::;;- II ~ / r t...
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Park Dedication $
Final/O.P,
ISSUED BY
to p rform all work pursuant to rules governing the described construe .ion.
SIGNATURE
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TELEPHONE #
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DRRINRGE PLAN REQUIRED: YES ~
DI~~A HHlGE PLAN APPROVED: YESJ__
CO_N~:l]ONS~ROVAL' ~~.:b~~~
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DRAINAGE PLAN COMPLU~I'.ICE CHECKLIST
JOB LOCATI Ol'~:
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1"2 € ~ ,: (
PROPERTY OWNER/CONTRACTOR:
TYPE OF PROPOSED CONSTRUCTION:
AREA OF LOT:
/1 510 ac .
AREA OF LOT TO BE DEVELOPED:
o. 8'1 ac.. .
NO
NO
ffc.
CONDITIONS OF DENIAL:
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REIJIEW AUTHORITY: Approval of plan-:=. or calculation-:=. 5hall be by
the Director of Public Work-:=. or de5ignee,
REVIEWED BY:
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DATE:
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