HomeMy WebLinkAbout0044317-Building t 44
CITY OF OSHKOSH N 44317
PERMIT — APPLICATION AND RECORD
TYPE: BLDG* HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS S L D t Fke , SIG . PLAN NO.
OWNER 1 ► ` , l.. R --EL-- 'D �0
DESIGNER 1
USE/NATURE OF WORK (SVP) U t \S�4 c L
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BUILDING CONTRACTOR 011 -XZ_
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR iA
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR W
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ct.A..) � ---4 -
- BT _ WH _ Disp _ WSoft — CBasin
— Lay _ Sh _ DW — DF __San. Sewer
- WC _ FDr __SP _ Ur _Storm Sewer
Sink _ LTub _ Eject _SS — Water
Other
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FEES: Valuation a1 Pe rmit Fee Paid $ � ' Park Dedication $
ISSUED BY Date W"` g5r— Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR • /� . K _ d /(3v /cs_'
?oi/IYe/ AGENT /OWN ER DATE
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TELEPHONE 0
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