HomeMy WebLinkAbout0033845-Storage Tank (remove) CITY OF OSHKOSH N° 33845
PERMIT — APPLICATION AND RECORD
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TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //- / / Pl3&0,
n `PI 1.<?(' PLAN NO.
OWNER D�.t. 4 kI ' f ;Q
DESIGNER
USE /NATURE OF WOR 1- c•� -�eo ��, � f4,._ 7 c:st V �
BUILDING CONTRACTOR CA PPM /
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR — -....
Heat ❑ A/C ❑ Vent ❑ Fuel /System
Heat Loss BTU'S
ELECTRIC CONTRACTOR r
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: Valuation ''. / ermit 7 e Paid $ Park Dedication $
ISSUED BY di/. _ ...., _ ,` `// Date "Z F Final /O.P.
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In the performance of th work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /r -3
e ' AGENT /OWNER `
DATE
ADDRESS
TELEPHONE #