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HomeMy WebLinkAbout1993-Building :mil N.9 CITY OF OSHKOSH N - 36856 PERMIT - APPLICATION AND RECORD TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONINGr FLOOD PLAIN HEIGHF O . ADDRESS / 799e7 ii'ot ALP PLAN NO / -7 '3 OWNER _ \e. Lt*' 1 M- %-`e- DESIGNER USE /NATURE OF WORK At- • Pt.r , ' ‘. c` /...e • BUILDING CONTRACTOR ©C[1 K ik Si Sq. Ft. 'W - r--- Rooms e- 7 # Stories Height { Foundation ■P' Class of Const. 7 Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S 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 / ......--.._ FEES: Valuation, $ , 0 0d ` Per. ' ee Paid $ 41° ~ Park Dedication $ ISSUED BY � �� � . Al 1 _ AL _ �,.,i Date I 1: P Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE l.e-e(l / P/i/rATijE AGENT /OWNER ADDRESS TELEPHONE # CATE // - / ..? NAME �-� L= ��JJ o, ADDRESS # r BLOCK 4 f • ZONE STREET NO. /79 146i06/ 4 LOT DIMENSIONS SIDEWALK EXISTING YES El NO ET BUILDING GRADE ELEVATIONS STAKES SET AT SITE 1/- 0 ,19 93 BY/e r/ FEE; $15.00 DEPARTMENT OF PUBLt ORK_ I, the undersigned, owner or agent of the abcve described property agree to have the grade established before excavation has commenced. 091874 4366