HomeMy WebLinkAbout0031398-Building (patio cover) CITY OF OSHKOSH N2 31398
PERMIT — APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 0_1) rn ` ' ' PLAN NO.
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OWNER 1 W t e( a
DESIGNER
�noBIc,� I-bm — ins USE /NATURE OF WORK a lu ,� (►�, u m C` � ( O cJ cov e vs
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BUILDING CONTRACTOR Mobile j' 'i4 V -g k (e_,
Size 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
FEES: Valuati• P. rmit Fee Paid $ 42545— � D oo Park Dedication $
ISSUED BY r 4.
; . • .1 Date / 01 a-2 Final /O.P.
1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR k
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AGENT /OWNER 10 - d3 ` qZ
DATE
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ADDRESS (NL ` 4LQ aeP l l C c La LJ q —3 �-,q D
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TELEPHONE # (Q
FROM )o ►'� `
frOMPANY. r" :14)04 . VhQb1Q 1Yt9
q COMPANY: t'?"\i"6 (4o0-e 31 A F
DATE: PHONE NO:
FAX NO: 1 FAX NO: a 1 2-2- 1s ( .
MESSAGE: r.; -
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QUILL REORDER NO. 7-489