HomeMy WebLinkAbout0011287-Building (interior alterations) CITY OF OSHKOSH No 1
PERMIT — APPLICATION AND RECORD
TYPE: BLDTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /: () (p 1 l bi K e 5e =c_– Sb PLAN NO.
OWNER =c(<' - C-:( -- ;- r' y /t',
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DESIGNER /'
USE /NATURE OF WORK - , c•.- ! KG a.�c , / f — � 1 f
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BUILDING CONTRACTOR OG 9 tte f' t
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Size Sq. Ft. # Rooms # Stories - Height Zf
Foundation X I ' S '(---- Class of Const. e3 Occupancy Permit , • r '
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR r)r� -)d4 & t- — ,/-'-' - i.'%'C
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 14 C r"
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuatio ' - 0101. ,° ;ermit Fee Paid $ 7C� Park Dedication $ *---
ISSUED BY /:, Date /i /Co &(- Final /O.P.
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In the performance of this work I a• to perform all work pursuant to rules governing the described construction.
SIGNATURE .-- �� v �i7
( AGENT /O NER �` ` DATE -, ADDRESS f I
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