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HomeMy WebLinkAbout0042933-Building (correct violations) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD Iy{L N!- - 42933 ~P_E~ _ . ~L~~ P(. ~T~. ~. ~~E~. ~ . ~~B~. ~ _ ~I~~ .C? _ ~O.N~N~ _ _ _ _ _ _ _F~~~D. ~~I~ _ _ . _ _ . ~~I~~T_ _ . _ _ /4flg HAICR/SotJ NAomI '?Aut) , ADDRESS Sf: PLAN NO. OWNER DESIGNER BUILDING CONTRACTOR CLU~~ Size Foundation Sq. Ft. # Rooms # Stories Class of Const. Z5 Height Occupancy Permit R~ HEATING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR /YI rCt/A€:Ls, Electric Servo New 0 Change 0 Temp 0 Type _ Volts Amps _ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR .:D,4(/~ 6!-(fi~ _Lav _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _BT _WH _Sh _FDr _ L Tub _Disp _WC _Ur _ Storm Sewer _Sink Other _ Eject __SS _ Water ISSUED BY Permit Fee Paid $ Date II Lf, _n / -,5", ~ {( l'30IQc.j I Park Dedication $ FEES: Valuation - Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ c:f~ - AGENT/OWNER ADDRESS ({JS tV ISb)/ iJ€-; TO AJ Ar..Jf. I It/W;{?tf ~(c; Zs/~~gG){ TELEPHONE #