HomeMy WebLinkAbout0031364-Building (raze) CITY OF OSHKOSH N2 31364
PERMIT - APPLICATION AND RECORD
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TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /4/40 7 /1 11" E PLAN NO.
OWNER % cY 64 ca.s o to
DESIGNER
USE /NATURE OF WORK 2 - ° t �- ^ - `e ... e_ X.C_. ) -
BUILDING CONTRACTOR ��45.4-4../C
Size Sq. Ft. # Rooms # Stories ries Height ,,r
Foundation Class of Const. t Occupancy Permit i v O
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 OtaG1 L° r
_ 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 1 `� /Per O ✓
't ee Paid $ Park Dedication $
ISSUED BY IiGl , _, :TJP _, _, Date C7Ml 2 --
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Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ‘f2,1/41./Li ) i / di/ °CT- /6/ 9y
ENT /OWNER DATE
ADDRESS 111 0 3k N V 33 Q ua ver mani gg7- 703D
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