HomeMy WebLinkAbout0015590-Building (misc.)/~ CITY OF OSHKOSH N°_ 15590
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING _~ FLOOD PLAIN ~ HEIGHT
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ADDRESS ~' ~ ~C.E /~ U~- PLAN NO.
OWNER ~/-J~~~2 ~~( ~~~9 C_.AC~1L
DESIGNER
USE/NATURE OF
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BUILDING CONTRACTOR ~C'y~~
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Size 9 ~~~ Sq. Ft. ~~ y # Rooms ~ # Stories Height
Foundation Class of Const. ~~ Occupancy Permit ~Uh[~~
HEATING CONTRACTOR /t/d C_~,E~,d'1l~ ~
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: Valu n ! S ~ Permit Fee Paid $ /~~ P
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ISSUED B Date ~"~r~-b~~1 Fi
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS ° / /
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DATE
TELEPHONE #