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HomeMy WebLinkAbout0014728-Building (deck)/~ CITY OF OSHKOSH N° 14728 `' PERMIT -APPLICATION AND RECORD d~~ ~~ TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN HEIGHT ADDRESS ~ ~ ~ ~ ~' PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~ r BUILDING/CONTRACTOR Size < °2 ~ ~ ~ Sq. Ft. °Z~ ~ # Ro ms # S~toeries Height Foundation 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 Lav Sh WC FDr -Sink LTub Other Disp DW SP Eject WSoft DF Ur SS CBasin -San. Sewer_ -Storm Sewer Water FEES: Valuation ISSUED BY~ Park Dedication Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ^ a'$~ AGENT/OWNER DATE ADDRESS ~~50 ~\r1 GA1 Av ~'3~^ ~"'~ ~~, TELEPHONE # ZQda~/L'~LVD ~5E CQ@+PLIAl4'C~ ~G~4.IST I. C~1L -_ Builciisr~ Pemdt #~~ zon;~g Q- l c . Job Locstifln _ a 3 ~ ~ ~ , rv c n, ~ (~ rz Iot Diamnsian g5~` ia.~ Psaperty Rasa: ~1 a rz ~~ R ~. ~ ~ ~ +~r . Iat Aces a. acres ~ ~' ~1! ~C: Lrwy 5 ~_ Q ur r~,.J n F nS L i.-~ (~ i 7 A ~i~1 Z-.a ~ ~ C tL ~~ 1~9P ~ ~~. ~~ ~ j _ Aooaesoay Hai3dis~g ', _ Foal ~ _ ~ildglll Fmnily ~ _ DedS/patio _ SVo-Famf,ly _ Bostlyoase ' _ Sign _ Ms].tirFmtily _ Dtility St~ctus+e _ ~~ _ Q~ciaL OFFS (sp~eify) _ "~*,_.~~ _~e. ~. ~ Qre / _ Iot ~tdth „~ _ Lot Arse w~ L _ ~ Ftt~ Yard Iiaar Yesd ~ _ Side Yazd ~ ~.~ S3cts Yard ~ ~ ~~ ~ ~ ~ ~ _ Iat Ases par Family ' _ Coiner Iot =v. ~e planning D~isecto~r, a~ approp~iata dam, moat appxavm a1L plans, wept the mlIoarirx;: (1) Alta_ratiaas ar irrt~~,}~work wt~rt~ ttaz taa is anr3 ~a~ ~ 1.,. ~ ~ ii ~~Z.L~riiiit~l~ ~~tt~I ~Q~'~ 1 etc.. ~ f~7en the N~! ~' CDIl~ aad ~n~i In !~ Gi' '~! ~i i Building ?.nspec~r without r:f~al to thelanais~g ~~ ~ -~= ApP=~ovID A~ov~ Play C~dasiori Actiaa F~quitied Variance (a) Required