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HomeMy WebLinkAbout0011248-Builidng (addn to #9156) CITY OF OSHKOSH N2 11 PERMIT - APPLICATION AND RECORD TYPE: BLDC -HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS a: 7 7.t.11 4 V e. PLAN NO. OWNER i9a c (7ntrQ R C tJ"'e -- -J tr DESIGNER • USE /NATURE OF WORK — i` 14.9e, d • r r.. JA rip .S a RA (' ! 'n e/ lac i - - c k P r4 1 ,a o— 0 c4 ()r kr P . r . ( v - .. 0 .. N f -,I ... ( ic�l BUILDING CONTRAC R �< m c+ P 0 -14— 4 l �� k r' SizeV to Sq. Ft. # Rooms # Stories , c Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR r � --h_c Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR K r (7 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 ', . AP r if er• / ee Paid $ 3 © " / Park Dedication $ ISSUED BY =/. /�a�..�L1 Date (/ r r — Final /O.P. agree £orm In the peormance of this work I a all work ursuant to rules overnin the r' 9 pursuant governing described construction. SIGNATURE 6i[ ) " , 'IL CO J- a Giv f /i' /7 �y AGEI OWNER DATE ADDRESS Y 2. /& 11c2 /7S C) IL S Aj ' ? CD _ \ -- lQ TELEPHONE #