HomeMy WebLinkAbout0019613-Building CITY OF OSHKOSH N°_ 19613
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING _C..Z__ FLOOD PLAIN HEIGHT
ADDRESS Opp C '1..0e' l n- PLAN NO ` 7- ' 77 T
OWNER C.e �i� �- —
DESIGNER (� _-/‘ . . —► Qk>° S , ' G h,- 4re
USE /NATURE OF WORK &r �{ r� r &a.u� r? 1:4� a ��JJ .� iko k .3 O r-
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BUILDING CONTRACTOR . /c. CiDc4"S‘r, , Cr) / h c 7n ry
Size F ›.--0 O Sq. Ft. # Rooms /i rf # Stories / f Height
Foundation k?c r` S�f` 1` �` — Class of Const. " ' cupancy Permit
HEATING CONTRACTOR Z
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
Z
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: Valuatio - 00 �� 4 1:; it Fee Paid $ .-S C2 Park Dedication $
ISSUED BY 1" . � /1f� Date Final /O.P. 9 /3 90
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE & ?/ SC3 �
/ ,• T/0 iER DA
ADDRESS .7- 5 ,O /Ifr A / ( 0 /- ?/ / /;✓ 'P/ eo /- tt5-6?—// z
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