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HomeMy WebLinkAbout0017339-Building (foundation only) ® i CITY OF OSHKOSH it N9 17339 PERMIT - APPLICATION AND RECORD TYPE: BLDG C.: HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGH ii ADDRESS C- /ID i'40 16 tr' 6 f e !I PLAN NO. P Z '/ � -� P OWNER C ` + .e ,r 3' C tk. 4 1,,, DESIGNER i "' " 4 S 2 C 4 si USE /NATURE OF WORK 0�+�� °er `— i I ii 1 i; BUILDING CONTRACTOR CIO ti-V.4--- l �� ,f Size�� S q. Ft.906 `f' t 'j # Rooms #Stories Height Foundation ' � s�.(� c ` � r Class of Const. sz ' Occupancy Permit ' j HEATING CONTRACTOR --- -- Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss j4 BTU'S i! ELECTRIC CONTRACTOR ------- ' Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps ¢. Fixtures 5, Switches Receptacles Circuits €d k . PLUMBING CONTRACTOR BT 1 WH Disp WSoft C Basin Lav i Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink c LTub Eject SS Water Other it 1 30 e FEES: Valuatio $ vtw ���� � ermit Fee Paid $ �� � Park Dedication $ - ISSUED BY 0 1 1...:! .'fJlJ.I,,/�,,. /� - Date Ze - 0 Final /O.P. In the performan of li /te 2 t .. - ' orm all , . rk pursuant to rules governing the described construction. SIGNATURE • / . . AGENT /OWNER DATE i ADDRESS TELEPHONE # r DATE "2:/ NAME ( r r 01e -- ' c.�.�,,G ADDRESS (� 7 O 1 'r - �5 LOT ' BLOCK ' WARD SUBDIV. ' T—ox ZONE • / r STREET NO,. �. © (7 /'-(ow`` C l a v" 'P t LOT DIMENSIONS 4 SIDEWALK ,EXISTING YES LII1 NO BUILDING 'GRADE ELEVATIONS STAKES SET AT SITE - Z.1Z4 . 3 ,19 90 BY ,I i\ FEE: IS. 00 , 1 A, e (/::::: /6' ,' DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above desc bed pr.pe t agree to have the grade established before excavation has commenced. .' 1 Ai / kir ' 'c , •