HomeMy WebLinkAbout0007994-Building (foundation only) ® . CITY OF OSHKOSH N9 07994
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING /'/ i - FLOOD PLAI HEIGHT AM -
ADDRESS - 3 ' 1 (a 6 No 5 e f` PLAN NO. /4' 17
OWNER l__' Wit IN Q. 0._n /'""■'l C-
DESIGNER `- `t'I 7 !—
USE /NATURE OF WORK A . -,- i_� ,. . , r _+
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BUILDING CONTRACTOR 1? V P 1
HO Size �7b X 139 S/ / � q . Ft. l # Rooms ( # Stories ( Height
Foundation g r( �i° - Cf t49q /( Class of Const. o Occupancy Permit
HEATING CONTRACTOR S C i (e Nr f i
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
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PLUMBING CONTRACTOR � ` A r 11 4 (" ...-:;.pq, A'
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 -= Per V ee Paid $ /Z.
Park Dedication $
ISSUED BY l 1/ .A..-..* .- - �
Date �� � Final /O.P.
erforman /
In the
performanc is work I agree to •erform all work pursuant to rules governing the described construction.
SIGNATURE - -43 C)0 V..)0C c -
AGENT /OWNER DATE
ADDRESS I. 0 8 " ATE k' Z 5 S' 3 3 S
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