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HomeMy WebLinkAbout0005838-Building (misc. exterior & interior) CITY OF OSHKOSH N° 05838 PERMIT - APPLICATION AND RECORD TYPE: BLD(TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING__ FLOOD PLAIN _ HEIGHT AJe ADDRESS / tic /1 �� PLAN NO. OWNER 41 q r '` ( DESIGNER USE /NATURE OF � r WORK \.?'tn., / e r40-14. v ,I .r`Df r ric r j A /A,,A A s s 0It . s 1 M✓(. ' • /,,T J Gt63D ' 1 3 c BUILDING CONTRACTOR .r r © Size 3 / r Sq. Ft. # Rooms # Stories / Height Foundatiorf J)(' f . ` s f- Class of Const. Occupancy Permit ( v HEATING CONTRACTOR 7z Q '- c....ttrr Al Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S L ELECTRIC CONTRACTOR N Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR • BT WH Disp WSoft CBasin _Lax/ _ Sh _ Dye DF San. Sewer WC FDr SP Ur Storm Sewer Sink _ LTub Eject SS Water Other FEES: Valuation $ J a 0 id $ y� Park Dedication $ ISSUED BY ��1 " " '� M Date /Dr- ` el5,. Final /O.P. In the performance of this wo . I agree t. . m all work •ursuant to rules ov ,/ governing the described construction. SIGNATURE / ,` CrA �J _ r ( AGENT/OWNER / ' � i % —/- / S/7 �,lCi�' ( TE ADDRESS �� —� � � � �P," :01 3 J5 -- TELEPHONE #