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HomeMy WebLinkAbout0043350-Building NO (4) CITY OF OSHKOSH N° - 43350 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS SI 13 ci.-F7 7 DP) ut E PLAN NO. OWNER .1 €F SC.I & i RW l a DESIGNER USE/NATURE OF WORK (S fl-Al/ 5 h OFF "/Z774 c L_ l/EL eDF Nit 6 . -. /c .....,"1 ,! 'TN/ • ■• i mb !lam i /0oT 70 3e v.56;?) , S /v (- ),c L s5 Ez61Z651S g i iiZ rc -9075 ,Aic .v,Ar_ BUILDING CONTRACTOR dw Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR /t$ Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Ow Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR © `A-) tk1 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 �� ® ` Permit Fee Paid $ ©• Park Dedication $ Cam- ISSUED BY Date // Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 41 1 A r� / 7 --clr AGENT /OWNER DATE ADDRESS 3/ / 3 IS e d Or 0st ikQ4 - s(1 , t( FITA TELEPHONE 41 _// 3 -- /e P ,0- _ 4' I.r ;er a � 2 w \w 1 - Q./ C gY O r �21 ` V J r`l - 1 [ et X39 T1 ,c7 A. ` Wes_ 3 ° . - r, cY ' 4 - \ 'el 9 I I ` /d 11 ,_ r / ,4 t� w u r f • 7 1 IL t.i.c*"... ,,,,,, ------------) , -,sri,_ r--- v ... I) w ' (./..y., -�.,� .. i „ _ .___ .__ , _I A ) '\./' ,,, .. , , ,us, t`. ,te r sat w 0 II OWNER 4- V"` I �Q ! Q, C L -t 1Y� ADDRESS 31 DATE 1 - J PERMIT # 43350) USE ('X tyYI ir wo Y h � k 00 0 t of it ! 1.�'_ t 1 _ GENERAL CONTRACTOR .. v .Q �( Q A o l t . P 1 MASON. CONTRACTOR • ZONE Width of lot DATE INSPECTIONS 0/9. - , /1 - 2 4h • �'` —KS A v c V 0 A PROJECT NOT CLONED uur t m Front of lot MAILING ADDRESS