HomeMy WebLinkAbout0041400-Building (display area)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N!-' 41400
TYPE: BLD~HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONINGC-~ FLOOD PLAIN
HEIGHT
ADDRESS :J(;t!:? d So k~t='/~p'-
OWNER ~J~uG- L~.Jc'~ ie-( I;:;~d'-~e~~t.fl~. ?7T
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PLAN NO.
DESIGNER
USE/NATURE OF WORK ~ 1'- fv....,...'(. S:.::rt!:ur-e "- -IE t'-- € C i- ~ct-I-Ir'" ~ l-t~ ~-I-
J~f f~ YOV' (' A- itA- S 4J t!..D~ e {'- (f) f- ! {!.r--OK 1- -e!{!. .s~""-rD
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BUILDING CONTRACTOR
//Jr't(Att.-rA. __~ h r~el
Size
Foundation
Sq. Ft.
# Rooms
Class of Const.
# Stories
(0
Height
Occupancy Permit
4
HEATING CONTRACTOR -~
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~e <:... k tLr-
Electric Serv. New 0 Change 0 Temp 0
Type
Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR .-
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
ISSUED BY
Fee Paid $
Date
Park Dedication $ 1-
Final/O.P.
In the performance of this work I agree to perform al . work pursuant to rules governing the described construction.
SIGNATURE
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{Jr~
DATE
ADDRESS
4/5>-
,..;J.33 F"' 29/ <f
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