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HomeMy WebLinkAbout0045526-Storage Tank (remove)~/ N° 45526 CITY OF OSHKOSH PE IT ~ APPLICATION AND RECORD 2~br~ TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS PLAN NO OWNER V ~ '~ ~ / DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation # Stories Height . Class of Const. Occupancy Permit HEATING CONTRACTOR 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 BT _ WH _ Disp - WSoft _ CBasin _ Lav _ Sh _ DW _ DF -San. Sewer - WC _ FDr _ SP _ Ur -Storm Sewer -Sink _ LTub _ Eject _ SS _ Water Other FEES: Valuation $ Z Permit Fee Paid $ Park Dedication $ ISSUED BY Date F Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (7 ^ Z ~' l~f ENT/OWNER pq~ ~,/ ADDRESS - L ~ S ~ ' ~ '/~$' h~~o,v 1 ~ ~O y g0 ~Y ~ 'l ! ~_ TElEPF10NE / Sq. Ft, # Rooms ~ - , '-ft=f~ u : ? a ~.h'1 FFa~h 1 U ,HI ~~~H FIFE C?EFT. 4 l ,1~'='65?~t5 ~ ~ f ;, c ~~, ~` ~. ~~~. - ~ E~ ~ ~~~r TT~, ~ '~:•P~ff~t_i~~7 [} ~' +~•,,?.e~(y ~ r~~~,I~rn ;._ ~~n*,~ €tEiTI~.~ GftECF~IIIS'I' ~' a,~i ~'i~'L :iT tS~VL ti• 3.'.t L7 ~, ~,. L ~fi _r :J 1 t. f. J 1~ n c G - ~ , C t. ~ ~-,, '`'*~_S~ ~ ~ '~'f f (T,+'~ ~ `_ ~~ ~~_~ S'~~~~`-}-~1~'-4'-h`~t ,. _1~7-fir _L. rf-... ~•.~;. r"rc ~~'~t ~ ~-_`.~- ._~'~1 ~~ __~- ~1_iF,tJ,~ - -t~_7C. ____ t ' - -- - ,.r .--~ 4 ,~+~ , _. - - .C - -_ - __ ___ _- ~.., _ n..- ~ ~ - -~~=J r` r; r, ~_ ~ _ ter', ~`t _ 1 - ,~~ i - ~,i;lL ~i E'~E --, , ~-~; `~- - ~ _ _-- ~ F ` ~ ` / / ri