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0010219-Building
~ CITY OF OSHKOSH N2 PE'RMIT - APPLICATION AND RECORD 10219 TYPE: BLDG ~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING 0-L FLOOD PLAIN dHEIGHd - - - - - - - - - - - - - - - - - - - - -. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (:::::6:. f 1-0..: q /] 8 t ADDRESS ....5QO /3, ~>>:~ 'kOE'lfer- W s:-r, PLAN NO.~-O?'- t'</8"-n3 OWNER ,.{ Q ~JCt-1. c; r-{z I,M. 'P +~ IJ-.::s ~llb DESIGNER~0N\~S ~R.~\j.)J bOO s~. -4 L~ S'G' -/'L' :sfo,., USE/NATURE OF WORK :s. {- U,;t 4. i- I :it:A-v--e t-(\0 r- 4/1---e ~ fr\()fA ~ ..J.o 'S-Io~e BUILDING CONTRACTOR 7< ~ ;:r- II- / ~ I'-':s ~~ Size ~;(" Sq. Ft. # Rooms (l I') n V <'!:.f/'-Y- -10 f::. 1) r- h r ' -Iv 1"-(" '-,....., -L ft <'_ # Stories Height Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR 5~!4.r Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR pt- \.- ~ Lk "i _BT _WH _Sh _Oisp _OW _SP _ WSoft _OF _ CBasin _Lav _ San. Sewer _WC _FOr _ L Tub _Ur _ Storm Sewer _ Water _Sink Other _ Eject _SS ISSUED BY Fee Paid $ J .tf 0 Date 1-? -g-~ Park Dedication $ Final/O.P. ~.. In the performance of this work I agree to perform all work suant to rules governing the described construction. i) ?/ Bt 23, J..- f163S- TELEPHONE # ADDRESS ZCNING/lAND. tJSE CCt-1PW..Ncr an::c:-<UST ~-Otr- 0"-/ erS" J3 ... ~:.i <;;.., I. IJ:. Buildinq Per:mi.t ~ zoninq confominq_ Non-Confominq_ . Job L:x:ation 300 8 J',goel'r 7?4!. ~ Oiltension ~~~;~:J5L;~. Pescril>o~: ~ X f7 ~~ v:~:r ryo ~NFJii ~ON WOITICN ~AI:mlAATICN '/ - ~sory Bui.ld.inq Fence Boathouse _ Utility Sb:tx:ture _ other (specify) m. cx:lMPL.IAN'CE ~ Pool _ Oeck/Patio _ Sign Porch _ $ihqle' Family. 'l\lo-Famil: - Y ~ti.~amiJ;" V.- ~ /~-~ _ ManufaQi:.uring Canolies Oefici.encv/~ - ...---- .----. .--- --- .-' -.---- ------ ~ .---- - ff/i- IV. m:vtt't'i AomoR!'!Y The Pl.a.nni.nI Oi.ractor, or app1:Opr-ate designee, nust approve all plans, except the followi.nq: (1) Alterations or interior ~rk 'When the use is c:onfo:::m.in9' and when no change of use is px:opose<i. (2) Maintenance itel.'lls, El:'9'~'+ si.Clrv;~ windo'.oJS, etc. I ...men the use is con,fo::mi.nq a.tx3. when IX) chan<;e of 'USe is. ~:" Instanc:es where work a::mplies with the a.l::ove c:t'iter~.t tr...e per;nc.t can.l:ia rrne.-:ed 1:ly the Building Inspector without referral to the PlaMing O:trector. ~. APPROVED NOr APPRJVED Variance (s) . ~: PEvIEl'iEO BY: