HomeMy WebLinkAbout0010673-Building (renew #3308)CITY OF OSHKOSH No 10673
PERMIT -APPLICATION AND RECORD
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TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN ~^ HEIGHTI~L
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ADDRESS ~ ~ ~~ ~f ~~B~Z.~ZsS~ ~ ~~'"-r PLAN NO.
OWNER ~ t-- ~-- ~~ ~'--~1 S t-- I r~J
DESIGNER
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USE/NATU OF WORK
~~ Q DES ~.i''r~r~T A. S c fa J ~4v./
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BUILDING CONTRACTOR ~_~~'~~~~
Size la-~~'-fig ~ Sq. Ft. ~ ~l ~c,
Foundation
# Rooms ~ # Stories Height ,,//~~ _~
Class of Const. ~ ~ Occupancy Permit ,1Uf~
HEATING CONTRACTOR ~ L-~ildit'G,A
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ~~'~ ~~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR _. L~-~s~lC~/~
- BT _ WH _ Disp WSoft CBasin
Lav _ Sh _ DW _ DF
- WC FDr SP _ Ur
-Sink LTub -Eject - SS
Other
-San. Sewer_
-Storm Sewer
Water.
FEES: Valua ' n ~ ~ Permit Fee Paid $ ~~ Park Dedication $ ..~'~ ~r4'
ISSUED BY Date ~ =~ y°- ~ ~ Final/O.P.
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATU
AGENT/OWNER
ADDRESS
o /~d'~
DATE
TELEPHONE #