HomeMy WebLinkAbout029063 - Building (fence) CITY OF OSHKOSH N® 29063
PERMIT - APPLICATION AND RECORD
TYPE: BLDG qr HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /4 0 6' J/,i / , - -- PLAN NO.
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OWNER L4- . /9 -AL 7—
DESIGNER p p ,
C S 7 4 / c / Ji-c.c l d 1 A<« 7'cr
USE/NATURE OF WORK ���� � �
BUILDING CONTRACTOR/d 4 :
Size \C 71 ' Sq. Ft. `{-11 ( ! # Rooms # Stories Height
Foundation ✓ Class of Const. - Occupancy Permit L'
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
FEES: Valuation S 0 •�' c: Permit Fee Paid $ /0 C? ` Park Dedication $
ISSUED BY � `1 t- ( C' -" Date gi/l `7 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE'-----"/ '—"`1--�=—r
7 AGENT%OWNER DATE
1
ADDRESS
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