HomeMy WebLinkAbout0000242-Building (basement wall)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
00242
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ADDRESS /.3>2> tv. ,HVt4.t:JCJCK Au--L
OWNER 0-q L/ilr//Je=4..S S~ .;;>.~/- //:"/S-
PLAN NO,
DESIGNER
USE/NATURE OF WORK$/;V&.LE .f'-4~/ L V IZES/ ~rI'C7ct.A-ff-rl,v5 rro
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BUILDING CONTRACTOR A/J /J Et:f-bOA-J /5/le>.-5
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Size Sq, Ft.
Foundation $. L.oc..ic::::...
# Rooms # Stories Height
Class of Const. a.b-er J h . Occupancy Permit )Jor ~I' (j
HEATING CONTRACTOR y4
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Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR /jIAi-
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR .~#-
_BT _WH
_Sh
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_Lav
_ San, Sewer
_WC
_FOr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
Permit Fee Paid $
Date
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,~~/
tG-z+-~Pb
Park Dedication $
Final/O.P.
;0/14-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURrtA~J- ~"
6 - 2--'1- tf'"h'
DATE
ADDRESS
TELEPHONE #