HomeMy WebLinkAbout000489 - Building (single family residence) CA) CITY OF OSHKOSH No 00489
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN r%t f 7— HEIGHT �—
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ADDRESS 1 •% r--" 6-172 A c3 ittj ''-,T PLAN NO.
OWNER Al L(..-/ /61(■OC_I`
DESIGNER 6 / ,/1
USE/NATURE OF WORK_<---)74Z;(--t-_, (A-'I P L L / .7 j (� (-' /1("� 7,0 f
BUILDING CONTRACTOR r-EA-VL)E-77--1 +72A`- it-i EC 7z LA--% I---1 A_cc<-2,-.5--4,--z-‘-/
Size 56 -01 - Sq. Ft. # Rooms # Stories Height
7?Foundation l c1 -f� Class of Const._(i--t'1g kOccupancy Permit ./(-)3T/ -c 0
HEATING CONTRACTOR 1 `f
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR /ILJe
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR A7C
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: Valua 7-06)(2)$ 7-06)(2) Permit Fee Paid $ /6„) . (--)r.)(--)r.) Park Dedication $ -1/2/
ISSUED : --?,;"°::t''f' Date / -11- " 3- e-' Final/O.P. )""°2(-7` '
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ��'�'�
/// AG NT/OWNER DATE
ADDRESS 7/-''---;`1 - 1-/ - --6.- -
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