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HomeMy WebLinkAbout0036012-Building (foundation repairs) i CITY OF OSHKOSH N2 36012 PERMIT APPLICATION AND RECORD TYPE: BLDG X HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 31/ v J i'1- N AVEVOE E PLAN NO. OWNER TO FI I C DESIGNER NM USE /NATURE OF WORK F;_, tuDA7O,&) P6 //2s (Kock (...1Au-s), BUILDING CONTRACTOR /4NDERSe>A/ ,t Roni Size Sq. Ft. Rooms Stories Height Foundation a04 CRC Ft- Class of Const. g Occupancy Permit A HEATING CONTRACTOR 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 c2ca FEES: Valuation CX.(. /n Permit Fee Paid Park Dedication ISSUED BY �Q� p Date i 11'1(N Final /O.P. /012'? j In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ©C SIGNATURE 4 AGENT /OWNER DATE ADDRESS TELEPHONE O'WNE`R /1446Rot) ADDRESS /d I Wik.s0A/ DATE PERMIT USE Wozk consists of GENERAL CONTRACTOR MASON. CONTRACTOR ZONE Width of lot DATE INSPECTIONS REMARKS O Front of lot MAILING ADDRESS