HomeMy WebLinkAbout0044510-Building pq!
CITY OF OSHKOSH N ° — 44510
PERMIT — APPLICATION AND RECORD
TYPE: BLDGTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS .......ID //,del a P f PLAN NO.
OWNER g W-f‘ S _E c �C.� .0 Ie 4,e
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DESIGNER 11�� )//
USE/NATURE OF WORK. IL V� . - 4.-,:_.... - _
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BUILDING CONTRACTOR M E--e
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit "'Cie
HEATING CONTRACTOR --- --
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR /0e.eAdt 4o t—
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: Valuatio / PJe/��' Fee Paid $ �d Park Dedication $._______
ISSUED BY A . , P _ _ L� Date ®' -s
Final /O. P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /moo '/- (7- 7
AGENT /OWNER DATE
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TELEPHONE #
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DATE q- �`� -q , PE I; USE_ F(
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GENERAL CONTRACTOR t ! _ Sty I • It •_/ =MINiT1
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MASON. CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
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Front of lot MAILING ADDRESS