HomeMy WebLinkAbout0013267-Building (raze garage & shed)CITY OF OSHKOSH No 13267
PERMIT -APPLICATION AND RECORD
-~S ~ a i ~
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN HEIGHT
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ADDRESS ~~ ~~ ~ f (r~~ ~ ~ PLAN NO.
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OWNER (~~t S S ~- ( ~~~ t'1 ~ f'-
DESIGNER
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USE/NATURE OF WORK \ ~ ~-~-~~ ~~. cr,. ~ l Y ~A ~- t ~ ~~w`'~ ~
BUILDING CONTRACTOR CyCe~ t1 ~ r
Size ~ Sq. Ft. # Rooms # Stories ~ Height
Foundation ~ Class of Const. ~ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles
Amps
Circuits
BTU'S
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 /S~, ~ Per Paid $ ~, ®~ ~ Park Dedication $
ISSUED BY Date r Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules aovernina the described construction.
SIGNATURE
ADDRESS
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TELEPHONE #