HomeMy WebLinkAbout0028220-Building CITY OF OSHKOSH N°_ 28220
PERMIT - APPLICATION AND RECORD
TYPE: BLDG1K(HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ( 3oo �r) i67 /hi — PLAN NO. 4 ( - [ *8
OWNER �K.o1=.L.O
DESIGNER
USE /NATURE OF WORK_,
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BUILDING CONTRACTOR we P/
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Sq. Ft. 1 # Rooms # Stories / Height Ax i' S
z r .8?--- a' .042 r- II
Foundation K r S � Class of Const. Arr`S� Occupancy Permit 1
HEATING CONTRACTOR r rt 1
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Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR V b L`f � � l°.G-, (7,--6-- (/ 37 ?o
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Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Am (s
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ' _ d —• - Art A ( >1 . o •
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 t'.k 00 / P- mit Fee Paid $ / Z'� --C,
�// �� � Park Dedication $
ISSUED BY j , . ���A .. � / Date Z
` � Final /O.P. IQ��/ 93
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
V SIGNATURE iegakti-e- v '5 - /-? Z
- N /� AGENT /OWNER DATE
V ADDRESS OWe/ Y/!e �G'� i ; ? &e s / �y ✓ /f O -90G�
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