HomeMy WebLinkAbout0046266-Building (carport addition) /1/
CITY OF OSHKOSH
N9 46266
PERMIT - APPLICATION AND RECORD
TYPE: BLDGFiTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 0 ' r ` q f) PLAN NO.
OWNER �oCt°f � SQL kr, r'-+
DESIGNER /hoc( Aii, �/
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USE /NATURE OF WORK /f'4oa>,le ,/e � /x2 c,„ — ,T' .
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BUILDING CONTRACTOR M)//;) et [e..._ .
size/ / X 2 (e Sq. Ft. # Rooms # Stories Height
Foundation �� Class of Const. Occupancy Permit
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
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FEES: Valuati - /0i Pe , Fee Paid $ 0 Park •Dedication $ �"
ISSUED BY i , _ :' _. _ / ra / Date Ag
Final /O.P.
In the performance of work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT /OWN R
DATE
ADDRESS (V3 J ^ 9`
TELEP #
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