HomeMy WebLinkAbout0012745-Building ® . CITY OF OSHKOSH No 1
PERMIT — APPLICATION AND RECORD
TYPE: BLDCa� HHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLA HEIGHT
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ADDRESS C l.<_)c �-‘-- �E, 4 P PLAN NO.
OWNER /L C?c I p -
DESIGNER �.t f// ei '
USE /NATURE OF WORK ` r>Gi U e (1-1-- / C `/y O �.; /c ( /�li r � ov ri ce
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V` 4;e7; Q /°l 141 et cCU L1 1 /
S i .F �' '' ► et ' s C- . a c r — act • [D re k /1 L( / : /'G <t
BUILDING CONTRACTOR 4t 6 cioc F'S et-L.5 I'd(
l r (' rt
Size �-0-li` , Sq. Ft. # Rooms tories Height
Foundation 1crd-r�-e Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 2
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR r1 it i 0(4
- BT WH Disp WSoft CBasin
- Lav Sh DW DF San. Sewer
WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS — Water
Other
FEES: Valuatio $ _. sr�.LL 4 P- %' Fee Paid $ � � cx Park Dedication $
ISSUED B 410: 4 MIT .rf�,,II Date 7 .-6
�7 J Final/O.P.
In the performance of this work I agr . • •e••r: all ork pursuant to rules governing the described construction.
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SIGNATURE . //� / >
s✓, AG /OWNER ( _ %TE
�� ADDRESS 0 ,9 C-- ._ 7, - ,. 0 e,- "SC--1
/ -' TELEPHONE #