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HomeMy WebLinkAbout0025535-Building (remodel) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 25535 :~P_E~ _ _ ~L~~ M _ ~T~ _ ~ _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _C? _ ~O_N~N~ _ ~~ ~ _ _ _F~~~D_ ~~I~ _ _ _ __ _ ~~I~~T_ _ _ _ _ l/~ c.r ,II~ /~ r3. ~ ( ~ ADDRESS PLAN NO. OWNER DESIGNER US;;:;~=~ ~ ~4~~ ~,.(~UJ-1.~ BUILDING CONTRACTOR t?~ Foundation Class of Const. # Stories y "2-- Height Size Sq. Ft. # Rooms Occupancy Permit 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 _BT _WH _Sh _Disp _OW _SP _ WSoft _OF _ CBasin _Lav _ San. Sewer _WC ~FDr ~LTub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water ~() 0: FEES: Valuation $ ,- :J. ISSUED BY F~~ ~ Permit Fee Paid $ a:;.s. a 0 I Date ~~,h / Park Dedication $ Final/O.P. is work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~WNER ADDRESS d /~ Y Q ~ {7 P:!C?/ 0233- 5:P /0 TELEPHONE #