HomeMy WebLinkAbout0000359-Building/`', CITY OF OSHKOSH No _ 00358
PERMIT -APPLICATION AND RECORD
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TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN ~ U ~ HEIGHT '~~~
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ADDRESS 1 gas " ~ ~eksoc`J ~ i2 PLAN NO.
OWNER ~ ~ ~ 1 WC+ l (-~ ~
DESIGNER
USE/NATURE OF WORK 2a ~ ~4 s S'TT-~ i -/ I~
BUILDING CONTRACTOR
Size ~ . Ft. # Rooms # Store? Height ~ y,~ /~~/
Foundation Class of Const. Occupancy Permit "`~ ~ `~ 4
HEATING CONTRACTOR / '. ONE
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~~vNC
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~.
- BT WH Disp WSoft CBasin
Lav - Sh DW DF
- WC _ FDr SP Ur
-Sink LTub _ Eject _ SS
Other
FEES: Valuation ~
ISSUED BY
U
Permit Fee Paid $ ~ Park Dedication $ /t/
- Date T7~~ Final/O.P.
In the performance of
SIGNATURE
ADDRESS ~~
work I agree to perform all work pursuant to rules governing the described construction.
!0 ,(fry 244¢
Qs~,~~;/
-San. Sewer_
Storm Sewer
Water.
(~ v//~Q
V "7~ / O~
7 2 ~~
DATE
~ 33-33//
TELEPHONE #f
EEC08D OF SEWER AND WATER DISCONNECTIONS
Address of Buildi
DTame of Owne r
Date ~~,~~"
_.___
Address of Owner oC "/ ~ ~1 C°i/~'~i®~~~2 ~v ~ /~ .
Sewer Sealed at Property Line 19,_ by
Water Disconnected at Property Line 19 by
No sewer and water services to premises. ~ I
I, the undersigned, owner or agent of the above described property,
agree that all sewer and water services will be disconnected and
sealed by a mast r plumber on or before
~ ~~d ,~y ~O~yrc ~~v, / /~~~ Owner Agent
Approved for issuance of wrecking or movi~ rm
~ e 1 bing Inspector
DATE,~7~,~-o~, ~, ~ ~ PER~'i3T #~~
GENERAL CONTRACTOR
~- ~
__
MASON CONTRACTOR ZONE
D_
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V ALAS u,~
7~_
INSP~TIONS
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FOOTING
~_
FDTN SLAB
..~~
BACKFILL
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STRUCTURE
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ENERGY
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