HomeMy WebLinkAbout0009016-Building (sign) CITY OF OSHKOSH N Q 09016
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PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN, ZONING FLOOD PLAIN C HEIGHT /L
ADDRESS 440?--- W /\U 0717 A�d�.-- PLAN NO.
I I/ OWNER t L C--(A JEi--1 L, A)
DESIGNER PE CA Tr't_
KJ VIA. L 6 k — I D G
USE /NATURE OF WORK �- � tC s I !J `� �'�f�
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BUILDING CONTRACTOR L .�
"L- 'S Ab ' C« 0-
Siz e q !� /
k M. Sq. Ft. # Rooms # Stories Height
Foundation A., C',, C6-A3 j Fn� Class of Const. Occupancy Permit AO
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR CL SOA.) / �t/i--v`it/�CC.e�.v v4.,
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
FEES: Valuati• 1 3 > `-` . Permit Fee Paid $ 10 i Park Dedication $ A (,
ISSUED BY/ a 4_ Date 6 ` Z-r '"S
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE cxw -w-`. Lj 4 ` Z 7 -^�'8-
AGENT/OWN6A., DATE
ADDRESS \ 3 3 . S ¥ a 3 /- 2efd% ()
TELEPHONE #
OWNER \!I 1-1,14J & vE LMA ADDRESS q-csZ- W AUCsoo 4E_,
DATE G -z9 -88 PERMIT # 0101(a - us C-`u E c_ l -C(Thrnc_
Lc\(2Ruf St Ai a omitC o,J WoY tc, consists of �PL�c� ( -ECOcA
GENERAL CONTRACTOR _ Cg(2p b S 4 'k6 ( 141(41
uc _ St Aft tII2s
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MASON " CONTRACTOR ZONE t3
Width of lot DATE INSPECTIONS
REMARKS
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Front of lot MAILING ADDRESS