HomeMy WebLinkAbout0044016-Building (sign) CITY OF OSHKOSH
N2 44016
PERMIT -� APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN--ZONING FLOOD PLAIN HEIGHT
ADDRESS �f / (1Lt.c cirD PLAN NO.
OWNER re &e r ' `'4 e - e /e_ &— LLtc
DESIGNER cf
USE /NATURE OF WORK 2 ra- e [ '`c-1)- a r ' 1J jCf`S�rk Sf h — Lata_I (sr r-k ,
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BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height /610:1)
Foundation Class of Const. Occupancy Permit
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
- BT _ WH _ Disp _ WSoft _ CBasin
- Lay — Sh _ DW _ DF — San. Sewer
— WC _ FDr _ SP — Ur — Storm Sewer
- Sink _ LTub — Eject _ SS _ Water
Other
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FEES: Valuatio �� Per ' Fee Paid $ d Park Dedication $
ISSUED BY [g /� `0..._. _ , .. / Date 3 8 R'� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AM IPIP
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