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HomeMy WebLinkAbout0020153-Building CITY OF OSHKOSH N° 20153 PERMIT APPLICATION AND RECORD 7 TYPE: BLDG Af HTG ELEC PLBG SIGN ZONING /e 5 FLOOD PLAIN HEIGHT 6 ADDRESS /6 5 e1/ a PLAN NO. P71 �-9tl q© re° OWNER "x X.O,L.f' -li( (�Q/1° DESIGNER USE /NATURE OF WORK d i afi' 41 4ci- ,e-4-1.-- .4 ,t t. BUILDING CONTRACTOR re -e/te-itice-- Size 7/ X C9' Sq. Ft. 74 KW Rooms Stories Height Foundation O. W Class of Const. Occupancy Permit Rea HEATING CONTRACTOR Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR 1 1 41, 192.-1//'1.4t∎r Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR `G_l/ BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuati MAY, 000 0 0 Permit Fee Paid 39..2. Park Dedication ISSUED BY X 4 aletv Date C A"i/ 'd Final/O.P. In the performance of thi work 1 agree tpr`6erform all workPyrsuant to rules governing the described construction. 7 SIGNATURE �t di AG /OWNER DATE ADDRESS 4 1 t '2 ''''C l3 TELEPHONE DATE 0. /9 61 NAME ,eey1 a�.f�7 ADDRESS LOT BLOCK WARD S UBD I V C 4--- ZONE STREET NO. S ar�- Q.t. LOT DIMENSIONS SIDEWALK EXISTING YES C NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,19- BY FEE: $15 .00 PD DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described proper agree to h. e the grade established before excavation has commenced. 6J 04220