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HomeMy WebLinkAbout0017175-Building (soffit) CITY OF OSHKOSH N2 17175 PERMIT - APPLICATION AND RECORD TYPE: BLDGTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /0 /3 A('' k kt t°.s m SS PLAN NO. OWNER T i`C*-.MP' +n- jljX I_ vAer -c,tti L!' ,, -C( DESIGNER (� [ r / /J USE /NATURE OF WORK ` ` " ��'' � 'V-ct'` ,,�� // /�ur.- (/Gi.v w� S'oCe ) j�e 1-'t ualeo it 0 ale .z F f e a ik tJ tc r Gct c 0 /7- 3. BUILDING CONTRACTOR aih-t`q K4- Size Sq. Ft. / # Rooms # Stories Height Foundation Class of Const. Occupancy Permit /7i© 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 C BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation CM r r- — .-- --- --- . ( % / � � � ■ Pe�� ee Paid $ —_ Park Dedication $ r ISSUED BY 4 L :�'/J�ff7,e Date a 4o Final /O.P. Ali i In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE , /l c.- -- o2/0 9D AGENT/OWNER � A / D TE ADDRESS A) 6' 76. '41 /e- 5 1 1 '41 /e- 5 1 1 iTr' e o4--- 9,73_07.2/ TELEPHONE #