HomeMy WebLinkAbout009346 - Building (new slab for garage) CITY OF OSHKOSH N2 09346
(11101, PERMIT — APPLICATION AND RECORD
TYPE: BLDG,LL---1-ITG 0 ELEC El PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 ? I ,?- 14(1- (J V----ivt.-tOc-t._ PLAN NO.
OWNER cr---- c
DESIGNER
USE/NATURE OF WpRK '- , -- . . / .
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BUILDING CONTRAVOR
Size /2- r ' ' Sq., Ft. , # Rooms # Stories Height
Foundation Afr ci Vr... g 1-..../ 'ick.11c-iict e4„efass of Const. et, Occupancy Permit "----(1---.)
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HEATING CONTRACTOR ..----------
Heat El A/C EI Vent 0 Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ---
Electric Serv. New El Change El Temp 0 Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR C--------------
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: Valuation $ -...-‘----C-2 i pi Fee Paid $ / C-)• ce Park Dedication $
ISSUED BY
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(XC Date - / - - -----"E ' Final/O.P.
In the performance of this work I agree to/perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER i DATE
ADDRESS /t?,44-4-- // t
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TELEPHONE",/