HomeMy WebLinkAbout0047162-Building (work room in garage) /-s/t3
CITY OF OSHKOSH N° 47162
PERMIT APPLICATION AND RECORD
TYPE: BLD1TG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ���t 4, o �l PLAN NO.
OWNER Set 1 -e- 0-
DESIGNER
USE /NATURE OF WORK 35 .9 l> I CK �oc t/` -4N� »t y� p "t 1> C f 4.e.,
BUILDING CONT AJTOR ®t4J
Size e- (44 Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit .0'1-4)
HEATING CONTRACTOR e"
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
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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
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FEES: Valuation `bas,07 Permit Fee Paid (42 Park Dedication
ISSUED BY Date 9 FinaUO.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /1411t4 �S I�� 95-
ENT /OWNER c DATE
ADDRESS (4( &S/A L )1I 1 a
�c/ �I rro 06,,3.
TELEPHONE
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