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HomeMy WebLinkAbout0032918-Building~~o CITY OF OSHKOSH N° 32918 PERMIT -APPLICATION AND RECORD TYPE: BLDG {~HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~ ~ ~ © t~/~11 C.4 % pQ PLAN NO. OWNER /"T DESIGNER USE/NATURE OF WORK ~ ~ Ci f~ /n l n., ~ e+ ~ L e _ , n / ~- - BUILDING. CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories ~''~ Height Class of Const. ~_ Occupancy Permit ~O HEATING CONTRACTOR c --1.. Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ Electric Serv. New ^ Change ^ Temp Type Vohs Fixtures Switches Receptacles Circuits Amps 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: \ ISSUED Paid $ v Park Dedication $ - Date 3 Final/O.P. In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE ADDRESS 9 AlitN I /OWNER 3 ~ 3 DATE TELEPHONE ~ OWNEAYn~ ADDRESS- ~3 ~~ 1~~,~t DATE PERf1IT #_ VSE S _.,~ ~.~~~ Wo~Ck cons is is of GENERAL CONTRACTOR .f~.,~,_,uc,[ ~ ~~,y~ __ MASON CONTRACTOR ZONE DATE FOOTING FDTN SLAB BACKFILL STRUCTURE ENERGY ~.._. OP o ~~c