HomeMy WebLinkAbout1987-Building (fire damage) CITY OF OSHKOSH N2 05674
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN`^ HEIGHT .0
ADDRESS / 3 Z 1 e cX Ski- PLAN NO.
OWNER 1‹.41 r3 v k ("
DESIGNER `
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USE /NATURE OF WORK �S P P r re / ` Ql✓vL t �/ R 4 , r- t- e 0E�(� /Ll a ciat C -
p L e e !e 0' arr'4 r. r '
Q`-07„ / at 8x (o
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BUILDING CONTRACTOR a feu 1F r it e C 'IPC-i i t, ,/ Co k L rr- 4,13'
Size Z1/,. -VL Sq. Ft. # Rooms # Stories G-- Height
Foundation /C r' &E Class of Const. Occupancy Perm
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HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR lam- C- K
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
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FEES: Valuation `'r'•''�62 D • P 'mit F:` aid $ .S Park Dedication $
ISSUED BY 1 7/1 , A - . — —: ,..r Date 1 - � ? " a37 Final /O.P.
In the performance of this work I agree to pe m all work pur t to rules governing the described construction.
SIGNATURE • . ..e.- _ i 9 .. z S ^ f-?
/ ,�/ AGENT /OWNER DATE
ADDRESS (3 / c Ca'(,tQ c'- 1° S.7 A r 2 I- / Foe,
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