HomeMy WebLinkAbout0020154-Building CITY OF OSHKOSH N9 20154
PERMIT APPLICATION AND RECORD
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TYPE: BLDG HTG ELEC PLBG SIGN ZONING S FLOOD PLAIN HEIGHT
ADDRESS 7 0 e,,,-i-E.iti2)1 .fit PJ PLAN NO. P 7/ _d J ore
OWNER L YI .-e--1-G
DESIGNER
USE /NATURE OF WORK 7211-46 S L� C Ce /3-el
BUILDING CONTRACTOR Z
Size 7/Ks S Ft. 746 d Rooms Stories Z Height
Foundation e0A.J, Class of Const. Occupancy Permit it Q
HEATING CONTRACTOR �.d7't
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: Valuation /14600. 0 0 Permit Fee Paid 3 92 S-0 V Park Dedication
ISSUED BY (?a"yf n- la.. a 1.t1W Date Final /O.P. 2-21-co
In the performance oft s work I agr: to perform all wgrk pursuant to rules governing the described construction.
SIGNATUR /t_, ...r, c t
ENT/OWNER DAT
ADDRESS //6 7 23:
TELEPHONE
DATE /r% d
NAME it> tru= e ADDRESS
LOT BLOCK WARD
SUBDIV. t P��t.- ZONE
STREET NO. 70 u/,iz0,. Q 't' LOT DIMENSIONS
SIDEWALK EXISTING YES LIl NO El
BUILDING GRADE ELEVATIONS STAKES SET AT SITE i 2. ,I9 G O BY V,1 v3
FEE: $15.00 pp
<E; 4
DEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above describe 'property ee to have
grade established before excavation has commenced
04221 ��i.i.
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